| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $223.30 | $223.30 | $223.30 | |
Anthem BCBS
| Facility | $229.50 | $486.00 | $2,710.00 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $223.30 | $223.30 | $223.30 | |
Anthem BCBS
| Facility | $229.50 | $486.00 | $2,710.00 |