| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $269.15 | $269.15 | |
Cigna
| Facility | $154.88 | $275.42 | $467.74 | |
Optum
| Facility | $234.42 | $316.23 | $549.54 | |
United
| Facility | $234.42 | $316.23 | $549.54 |
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 | $269.15 | $269.15 | $269.15 | |
Cigna
| Facility | $154.88 | $275.42 | $467.74 | |
Optum
| Facility | $234.42 | $316.23 | $549.54 | |
United
| Facility | $234.42 | $316.23 | $549.54 |