| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $148.46 | $237.31 | $274.64 | |
Anthem BCBS
| Facility | $501.00 | $501.00 | $501.00 | |
Optum
| Facility | $65.00 | $65.00 | $126.00 |
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 | $148.46 | $237.31 | $274.64 | |
Anthem BCBS
| Facility | $501.00 | $501.00 | $501.00 | |
Optum
| Facility | $65.00 | $65.00 | $126.00 |