| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Optum
| Facility | $166.00 | $190.00 | $507.00 | |
Oscar Health
| Facility | $166.00 | $190.00 | $507.00 |
Behavioral Health Treatments/Services - Other Bh Treatment/Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Optum
| Facility | $166.00 | $190.00 | $507.00 | |
Oscar Health
| Facility | $166.00 | $190.00 | $507.00 |