| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $954.99 | $977.24 | |
Sentara
| Facility | $19.95 | $10,000.00 | $10,964.78 |
Other Therapeutic Services (see also 095X, an extension of 094X)-Drug Rehabilitation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $954.99 | $977.24 | |
Sentara
| Facility | $19.95 | $10,000.00 | $10,964.78 |