| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $89.30 | $89.30 | $234.75 |
Behavioral Health Treatments/Services Extension of 090X-Testing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $89.30 | $89.30 | $234.75 |