| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31,695.30 | $39,133.30 | $53,679.30 | |
United
| Facility | $11,415.15 | $29,389.78 | $51,555.59 |
Organic disturbances & intellectual disability
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31,695.30 | $39,133.30 | $53,679.30 | |
United
| Facility | $11,415.15 | $29,389.78 | $51,555.59 |