| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.00 | $482.00 | $487.00 | |
BCBS
| Facility | $320.00 | $400.00 | $400.00 | |
Providence
| Facility | $419.00 | $419.00 | $419.00 |
Behavioral Health Treatments/Services Extension of 090X-Partial Hospitalization-Less Intensive
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.00 | $482.00 | $487.00 | |
BCBS
| Facility | $320.00 | $400.00 | $400.00 | |
Providence
| Facility | $419.00 | $419.00 | $419.00 |