| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $144.03 | $144.03 | $144.03 |
Behavioral Health Treatments/Services - Other Bh Treatment/Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $144.03 | $144.03 | $144.03 |