| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.00 | $125.00 | $125.00 |
Behavioral Health Treatment/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 | $125.00 | $125.00 | $125.00 |