| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315,336.00 | $315,336.00 | $315,336.00 | |
Cigna
| Facility | $144,766.25 | $243,790.77 | $248,007.26 | |
United
| Facility | $8,306.00 | $10,063.00 | $128,594.02 |
Organic Disturbances&Mental Retardation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315,336.00 | $315,336.00 | $315,336.00 | |
Cigna
| Facility | $144,766.25 | $243,790.77 | $248,007.26 | |
United
| Facility | $8,306.00 | $10,063.00 | $128,594.02 |