| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.24 | $57.60 | $72.00 | |
Cigna
| Professional | $10.00 | $145.05 | $145.05 | |
Molina
| Professional | $40.00 | $40.00 | $70.00 |
Unlisted Preventive Medicine Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.24 | $57.60 | $72.00 | |
Cigna
| Professional | $10.00 | $145.05 | $145.05 | |
Molina
| Professional | $40.00 | $40.00 | $70.00 |