| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424.00 | $475.00 | $701.00 | |
Medica
| Facility | $2,560.00 | $2,560.00 | $2,560.00 | |
United
| Facility | $800.00 | $800.00 | $800.00 |
Behavioral Health Treatments/Services Extension of 090X-Partial Hospitalization-Less Intensive
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424.00 | $475.00 | $701.00 | |
Medica
| Facility | $2,560.00 | $2,560.00 | $2,560.00 | |
United
| Facility | $800.00 | $800.00 | $800.00 |