| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,877.60 | $4,733.70 | $7,442.50 | |
United
| Facility | $7,681.64 | $9,796.00 | $10,315.00 |
Alcohol/drug abuse or dependence, left ama
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,877.60 | $4,733.70 | $7,442.50 | |
United
| Facility | $7,681.64 | $9,796.00 | $10,315.00 |