| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $181.00 | $235.00 | |
Ambetter
| Facility | $153.05 | $153.05 | $185.25 | |
Anthem BCBS
| Facility | $202.03 | $290.00 | $1,182.00 | |
Cigna
| Facility | $150.00 | $200.00 | $274.00 |
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 | $100.00 | $181.00 | $235.00 | |
Ambetter
| Facility | $153.05 | $153.05 | $185.25 | |
Anthem BCBS
| Facility | $202.03 | $290.00 | $1,182.00 | |
Cigna
| Facility | $150.00 | $200.00 | $274.00 |