| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,247.00 | $2,247.00 | $2,247.00 | |
Medica
| Facility | $1,144.00 | $1,144.00 | $5,000.00 | |
United
| Facility | $1,144.00 | $1,144.00 | $1,144.00 |
Behavioral Health Accommodations - General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,247.00 | $2,247.00 | $2,247.00 | |
Medica
| Facility | $1,144.00 | $1,144.00 | $5,000.00 | |
United
| Facility | $1,144.00 | $1,144.00 | $1,144.00 |