| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $900.00 | $1,155.00 | $1,250.00 | |
Sentara
| Facility | $34.00 | $34.00 | $34.00 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $900.00 | $1,155.00 | $1,250.00 | |
Sentara
| Facility | $34.00 | $34.00 | $34.00 |