| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $13,489.63 | $19,054.61 | $21,379.62 | |
Harvard Pilgrim
| Facility | $13,489.63 | $13,489.63 | $13,489.63 |
Acute Adjustment Reaction And Psychosocial Dysfunction
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $13,489.63 | $19,054.61 | $21,379.62 | |
Harvard Pilgrim
| Facility | $13,489.63 | $13,489.63 | $13,489.63 |