| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.00 | $399.00 | $480.00 | |
BCBS
| Facility | $30.24 | $371.95 | $1,625.00 | |
Lucent Health
| Facility | $286.00 | $286.00 | $286.00 |
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 | $301.00 | $399.00 | $480.00 | |
BCBS
| Facility | $30.24 | $371.95 | $1,625.00 | |
Lucent Health
| Facility | $286.00 | $286.00 | $286.00 |