| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.00 | $280.00 | $280.00 | |
BCBS
| Facility | $1,230.00 | $3,564.00 | $6,578.00 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Intensive Outpatient Services-Chemical Dependency
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.00 | $280.00 | $280.00 | |
BCBS
| Facility | $1,230.00 | $3,564.00 | $6,578.00 |