| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $257.04 | $457.09 | |
BCBS
| Facility | $1,659.59 | $2,137.96 | $4,073.80 | |
United
| Facility | $165.96 | $245.47 | $870.96 |
Behavioral Health Treatments/Services Extension of 090X-Other Behavioral Health Treatments/Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $257.04 | $457.09 | |
BCBS
| Facility | $1,659.59 | $2,137.96 | $4,073.80 | |
United
| Facility | $165.96 | $245.47 | $870.96 |
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