| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,678.40 | $1,783.30 | $2,098.00 | |
Anthem BCBS
| Facility | $6,324.15 | $30,367.84 | $38,933.12 | |
Martin's Point
| Facility | $2,098.00 | $2,098.00 | $2,098.00 |
Organic disturbances & intellectual disability
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,678.40 | $1,783.30 | $2,098.00 | |
Anthem BCBS
| Facility | $6,324.15 | $30,367.84 | $38,933.12 | |
Martin's Point
| Facility | $2,098.00 | $2,098.00 | $2,098.00 |