| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $125.89 | $125.89 | |
BCBS
| Facility | $93.33 | $2,089.30 | $3,388.44 | |
Cigna
| Facility | $1,584.89 | $1,584.89 | $1,584.89 | |
United
| Facility | $323.59 | $426.58 | $707.95 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Community Behavioral Health Program (Day Treatment)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $125.89 | $125.89 | |
BCBS
| Facility | $93.33 | $2,089.30 | $3,388.44 | |
Cigna
| Facility | $1,584.89 | $1,584.89 | $1,584.89 | |
United
| Facility | $323.59 | $426.58 | $707.95 |
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