| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $645.65 | $645.65 | |
Moda Health
| Facility | $645.65 | $645.65 | $645.65 |
Behavioral Health Accommodations-Residential-Chemical Dependency
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $645.65 | $645.65 | |
Moda Health
| Facility | $645.65 | $645.65 | $645.65 |