| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $172.00 | $204.00 | |
Medica
| Facility | $1,308.00 | $1,308.00 | $1,308.00 |
Psychiatric Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $172.00 | $204.00 | |
Medica
| Facility | $1,308.00 | $1,308.00 | $1,308.00 |