| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $565.00 | $565.00 | $992.00 | |
Martin's Point
| Facility | $992.00 | $992.00 | $992.00 |
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 | $565.00 | $565.00 | $992.00 | |
Martin's Point
| Facility | $992.00 | $992.00 | $992.00 |