| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.00 | $250.00 | $250.00 | |
Cigna
| Facility | $300.00 | $300.00 | $810.00 |
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 | $250.00 | $250.00 | $250.00 | |
Cigna
| Facility | $300.00 | $300.00 | $810.00 |