| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.00 | $636.00 | $1,102.00 | |
Horizon BCBS
| Facility | $4.82 | $15.93 | $300.00 |
Behavioral Health Treatments/Services Extension of 090X-Partial Hospitalization-Less Intensive
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.00 | $636.00 | $1,102.00 | |
Horizon BCBS
| Facility | $4.82 | $15.93 | $300.00 |