| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $111.22 | $111.22 | $425.00 |
Behavioral Health Treatments/Services - Other Bh Treatment/Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $111.22 | $111.22 | $425.00 |