| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $134.90 | $134.90 | |
United
| Facility | $100.00 | $100.00 | $100.00 |
Clinic-Psychiatric Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $134.90 | $134.90 | |
United
| Facility | $100.00 | $100.00 | $100.00 |