| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $9,332.54 | $12,302.69 | $13,803.84 | |
Harvard Pilgrim
| Facility | $8,511.38 | $8,511.38 | $8,511.38 |
Alcohol/drug abuse or dependence, left ama
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $9,332.54 | $12,302.69 | $13,803.84 | |
Harvard Pilgrim
| Facility | $8,511.38 | $8,511.38 | $8,511.38 |