| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $600.00 | $679.14 | $954.00 | |
Ambetter
| Facility | $636.44 | $636.44 | $636.44 | |
Cigna
| Facility | $600.00 | $735.00 | $1,325.00 | |
Qualchoice
| Facility | $663.88 | $663.88 | $663.88 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Electroshock Treatment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $600.00 | $679.14 | $954.00 | |
Ambetter
| Facility | $636.44 | $636.44 | $636.44 | |
Cigna
| Facility | $600.00 | $735.00 | $1,325.00 | |
Qualchoice
| Facility | $663.88 | $663.88 | $663.88 |