| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.00 | $212.00 | $309.00 | |
Anthem BCBS
| Facility | $94.00 | $165.00 | $278.00 | |
Cigna
| Facility | $170.00 | $215.00 | $369.50 |
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 | $130.00 | $212.00 | $309.00 | |
Anthem BCBS
| Facility | $94.00 | $165.00 | $278.00 | |
Cigna
| Facility | $170.00 | $215.00 | $369.50 |