| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.79 | $69.00 | $76.64 | |
HMSA
| Professional | $111.92 | $131.66 | $131.66 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |
Unlisted preventive medicine service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.79 | $69.00 | $76.64 | |
HMSA
| Professional | $111.92 | $131.66 | $131.66 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |