| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.00 | $454.00 | $454.00 | |
Ambetter
| Facility | $125.14 | $292.55 | $407.00 | |
Anthem BCBS
| Facility | $796.72 | $1,152.77 | $1,289.14 |
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 | $454.00 | $454.00 | $454.00 | |
Ambetter
| Facility | $125.14 | $292.55 | $407.00 | |
Anthem BCBS
| Facility | $796.72 | $1,152.77 | $1,289.14 |