| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $206.95 | $437.00 | $459.39 |
Behavioral Health Treatments/Services Extension of 090X-Testing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $206.95 | $437.00 | $459.39 |