| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.00 | $433.00 | $1,073.00 | |
Cigna
| Facility | $236.00 | $330.75 | $382.00 | |
Horizon BCBS
| Facility | $288.00 | $288.00 | $406.00 |
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 | $195.00 | $433.00 | $1,073.00 | |
Cigna
| Facility | $236.00 | $330.75 | $382.00 | |
Horizon BCBS
| Facility | $288.00 | $288.00 | $406.00 |