| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $69.00 | $69.00 | |
Moda Health
| Professional | $9.00 | $9.00 | $9.00 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 |
Unlisted Preventive Medicine Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $69.00 | $69.00 | |
Moda Health
| Professional | $9.00 | $9.00 | $9.00 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 |