| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $113,629.08 | $185,868.05 | $257,697.00 | |
Harvard Pilgrim
| Facility | $78,938.10 | $130,251.79 | $189,259.63 | |
United
| Facility | $106,079.03 | $106,079.03 | $184,606.70 |
Organic Disturbances&Mental Retardation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $113,629.08 | $185,868.05 | $257,697.00 | |
Harvard Pilgrim
| Facility | $78,938.10 | $130,251.79 | $189,259.63 | |
United
| Facility | $106,079.03 | $106,079.03 | $184,606.70 |