| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,152.90 | $15,004.90 | $20,582.30 | |
United
| Facility | $4,376.91 | $5,369.50 | $19,767.93 |
Alcohol/drug abuse or dependence, left ama
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,152.90 | $15,004.90 | $20,582.30 | |
United
| Facility | $4,376.91 | $5,369.50 | $19,767.93 |