| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,877.60 | $4,733.70 | $7,442.50 | |
United
| Facility | $8,306.00 | $10,063.00 | $12,600.20 |
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 | $1,877.60 | $4,733.70 | $7,442.50 | |
United
| Facility | $8,306.00 | $10,063.00 | $12,600.20 |