| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $288.40 | $691.83 | |
Ambetter
| Facility | $208.93 | $371.54 | $371.54 | |
Cigna
| Facility | $109.65 | $281.84 | $338.84 | |
United
| Facility | $213.80 | $275.42 | $489.78 |
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 | $281.84 | $288.40 | $691.83 | |
Ambetter
| Facility | $208.93 | $371.54 | $371.54 | |
Cigna
| Facility | $109.65 | $281.84 | $338.84 | |
United
| Facility | $213.80 | $275.42 | $489.78 |