| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $524.81 | $3,235.94 | |
BCBS
| Facility | $77.62 | $2,137.96 | $3,890.45 | |
Cigna
| Facility | $95.50 | $95.50 | $380.19 | |
United
| Facility | $204.17 | $602.56 | $954.99 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $524.81 | $3,235.94 | |
BCBS
| Facility | $77.62 | $2,137.96 | $3,890.45 | |
Cigna
| Facility | $95.50 | $95.50 | $380.19 | |
United
| Facility | $204.17 | $602.56 | $954.99 |
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