| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.00 | $3,660.00 | $12,400.00 | |
Medica
| Facility | $5,000.00 | $5,000.00 | $5,000.00 |
Behavioral Health Accommodations-Outdoor/Wilderness Behavioral Health
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.00 | $3,660.00 | $12,400.00 | |
Medica
| Facility | $5,000.00 | $5,000.00 | $5,000.00 |