| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.62 | $45.71 | $60.26 | |
Hally Health
| Professional | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $162.18 | $162.18 | $162.18 |
Unlisted preventive medicine service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.62 | $45.71 | $60.26 | |
Hally Health
| Professional | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $162.18 | $162.18 | $162.18 |