| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,341.00 | $24,483.80 | $33,102.80 | |
Regence BlueShield
| Facility | $1,168.00 | $1,545.00 | $1,931.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $16,697.12 |
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,341.00 | $24,483.80 | $33,102.80 | |
Regence BlueShield
| Facility | $1,168.00 | $1,545.00 | $1,931.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $16,697.12 |