| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $457.09 | $457.09 | |
Christus
| Facility | $44.67 | $44.67 | $44.67 | |
Moda Health
| Facility | $457.09 | $457.09 | $457.09 |
Psychiatric/Psychological Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $457.09 | $457.09 | |
Christus
| Facility | $44.67 | $44.67 | $44.67 | |
Moda Health
| Facility | $457.09 | $457.09 | $457.09 |