| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,299.00 | $1,672.00 | $11,661.30 | |
Hometown Health
| Facility | $5,491.50 | $8,778.29 | $9,847.76 | |
United
| Facility | $18,133.78 | $18,133.78 | $18,133.78 |
Alcohol/drug abuse or dependence, left ama
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,299.00 | $1,672.00 | $11,661.30 | |
Hometown Health
| Facility | $5,491.50 | $8,778.29 | $9,847.76 | |
United
| Facility | $18,133.78 | $18,133.78 | $18,133.78 |