| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,391.20 | $21,472.30 | $29,453.70 | |
United
| Facility | $6,263.47 | $16,126.11 | $28,288.44 |
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 | $17,391.20 | $21,472.30 | $29,453.70 | |
United
| Facility | $6,263.47 | $16,126.11 | $28,288.44 |