| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $460.00 | $460.00 | $460.00 | |
Lucent Health
| Facility | $500.00 | $1,400.00 | $1,400.00 | |
Providence
| Facility | $197.00 | $197.00 | $197.00 |
Behavioral Health Treatments/Services - Reserved
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $460.00 | $460.00 | $460.00 | |
Lucent Health
| Facility | $500.00 | $1,400.00 | $1,400.00 | |
Providence
| Facility | $197.00 | $197.00 | $197.00 |