| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $933.25 | $933.25 | |
Kaiser Permanente
| Facility | $134.90 | $223.87 | $575.44 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Activity Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $933.25 | $933.25 | |
Kaiser Permanente
| Facility | $134.90 | $223.87 | $575.44 |