| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $368.00 | $750.00 | $1,181.00 | |
MVP Health Care
| Facility | $368.00 | $750.00 | $1,181.00 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Electroshock Treatment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $368.00 | $750.00 | $1,181.00 | |
MVP Health Care
| Facility | $368.00 | $750.00 | $1,181.00 |