| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.00 | $352.00 | $352.00 | |
BCBS
| Facility | $552.00 | $1,632.00 | $3,258.00 |
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 | $352.00 | $352.00 | $352.00 | |
BCBS
| Facility | $552.00 | $1,632.00 | $3,258.00 |
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