| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $263.03 | $630.96 | |
BCBS
| Facility | $190.55 | $281.84 | $512.86 | |
Cigna
| Facility | $190.55 | $275.42 | $436.52 | |
United
| Facility | $181.97 | $257.04 | $467.74 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Intensive Outpatient Services-Psychiatric
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $263.03 | $630.96 | |
BCBS
| Facility | $190.55 | $281.84 | $512.86 | |
Cigna
| Facility | $190.55 | $275.42 | $436.52 | |
United
| Facility | $181.97 | $257.04 | $467.74 |
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