| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.27 | $92.68 | $93.65 | |
Cigna
| Facility | $19.00 | $19.00 | $19.00 | |
Medical Mutual of Ohio
| Facility | $19.00 | $19.00 | $19.00 | |
Optum
| Facility | $50.00 | $50.00 | $50.00 |
Psychiatric Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.27 | $92.68 | $93.65 | |
Cigna
| Facility | $19.00 | $19.00 | $19.00 | |
Medical Mutual of Ohio
| Facility | $19.00 | $19.00 | $19.00 | |
Optum
| Facility | $50.00 | $50.00 | $50.00 |