| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $478.63 | $524.81 | |
Moda Health
| Facility | $478.63 | $478.63 | $524.81 | |
United
| Facility | $501.19 | $501.19 | $501.19 |
Behavioral Health Treatments/Services Extension of 090X-Partial Hospitalization-Less Intensive
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $478.63 | $524.81 | |
Moda Health
| Facility | $478.63 | $478.63 | $524.81 | |
United
| Facility | $501.19 | $501.19 | $501.19 |