| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,908.68 | $28,183.83 | $32,359.37 | |
United
| Facility | $3,801.89 | $22,908.68 | $26,915.35 |
Organic disturbances & intellectual disability
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,908.68 | $28,183.83 | $32,359.37 | |
United
| Facility | $3,801.89 | $22,908.68 | $26,915.35 |