| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,507.30 | $20,716.70 | $30,898.00 | |
Anthem BCBS
| Facility | $1,985.00 | $14,862.42 | $22,516.39 | |
United
| Facility | $15,283.03 | $21,126.00 | $26,415.00 |
Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,507.30 | $20,716.70 | $30,898.00 | |
Anthem BCBS
| Facility | $1,985.00 | $14,862.42 | $22,516.39 | |
United
| Facility | $15,283.03 | $21,126.00 | $26,415.00 |