| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,299.00 | $1,672.00 | $31,207.68 | |
Hometown Health
| Facility | $13,619.65 | $20,979.14 | $24,288.12 | |
United
| Facility | $47,293.62 | $47,293.62 | $47,293.62 |
Organic disturbances & intellectual disability
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,299.00 | $1,672.00 | $31,207.68 | |
Hometown Health
| Facility | $13,619.65 | $20,979.14 | $24,288.12 | |
United
| Facility | $47,293.62 | $47,293.62 | $47,293.62 |