| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,794.00 | $1,794.00 | $2,127.00 | |
Ambetter
| Facility | $229.48 | $229.48 | $229.48 | |
BCBS
| Facility | $68.72 | $68.72 | $68.72 |
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 | $1,794.00 | $1,794.00 | $2,127.00 | |
Ambetter
| Facility | $229.48 | $229.48 | $229.48 | |
BCBS
| Facility | $68.72 | $68.72 | $68.72 |