| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,589.25 | $15,488.17 | $17,782.79 | |
United
| Facility | $3,801.89 | $12,589.25 | $14,454.40 |
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 | $12,589.25 | $15,488.17 | $17,782.79 | |
United
| Facility | $3,801.89 | $12,589.25 | $14,454.40 |