| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,177.89 | $16,378.05 | $35,521.01 | |
Harvard Pilgrim
| Facility | $15,807.50 | $23,259.87 | $34,228.69 | |
United
| Facility | $18,943.18 | $18,943.18 | $32,966.36 |
Organic disturbances and intellectual disability
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,177.89 | $16,378.05 | $35,521.01 | |
Harvard Pilgrim
| Facility | $15,807.50 | $23,259.87 | $34,228.69 | |
United
| Facility | $18,943.18 | $18,943.18 | $32,966.36 |