| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $77.62 | |
Medica
| Facility | $79.43 | $79.43 | $79.43 | |
United
| Facility | $39.81 | $79.43 | $107.15 |
Clinic-Psychiatric Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $77.62 | |
Medica
| Facility | $79.43 | $79.43 | $79.43 | |
United
| Facility | $39.81 | $79.43 | $107.15 |