| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $55.65 | $55.65 | $55.65 |
Behavioral Health Treatments/Services Extension of 090X-Individual Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $55.65 | $55.65 | $55.65 |