| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.00 | $220.00 | $309.00 | |
Ambetter
| Facility | $250.00 | $250.00 | $250.00 | |
Anthem BCBS
| Facility | $94.00 | $165.00 | $207.00 | |
Cigna
| Facility | $140.00 | $215.00 | $304.00 |
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 | $182.00 | $220.00 | $309.00 | |
Ambetter
| Facility | $250.00 | $250.00 | $250.00 | |
Anthem BCBS
| Facility | $94.00 | $165.00 | $207.00 | |
Cigna
| Facility | $140.00 | $215.00 | $304.00 |