| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $95.50 | $95.50 | |
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 | $8.91 | $95.50 | $95.50 | |
Medica
| Professional | $162.18 | $162.18 | $162.18 |