| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $383.00 | $509.00 | $905.00 | |
BCBS
| Facility | $796.72 | $806.00 | $1,247.00 | |
Cigna
| Facility | $238.00 | $238.00 | $238.00 |
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 | $383.00 | $509.00 | $905.00 | |
BCBS
| Facility | $796.72 | $806.00 | $1,247.00 | |
Cigna
| Facility | $238.00 | $238.00 | $238.00 |
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