| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $316.23 | $1,000.00 | |
Cigna
| Facility | $281.84 | $645.65 | $831.76 | |
Optum
| Facility | $263.03 | $371.54 | $724.44 | |
United
| Facility | $263.03 | $371.54 | $724.44 |
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 | $158.49 | $316.23 | $1,000.00 | |
Cigna
| Facility | $281.84 | $645.65 | $831.76 | |
Optum
| Facility | $263.03 | $371.54 | $724.44 | |
United
| Facility | $263.03 | $371.54 | $724.44 |