| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,912.51 | $10,715.19 | $12,302.69 | |
United
| Facility | $3,801.89 | $8,912.51 | $10,232.93 |
Alcohol/drug abuse or dependence, left ama
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,912.51 | $10,715.19 | $12,302.69 | |
United
| Facility | $3,801.89 | $8,912.51 | $10,232.93 |