| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.20 | $57.60 | $72.00 | |
Christus
| Facility | $19.20 | $19.20 | $19.20 | |
Cigna
| Professional | $65.55 | $65.55 | $145.05 | |
United
| Professional | $9.98 | $9.98 | $9.98 |
Unlisted Preventive Medicine Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.20 | $57.60 | $72.00 | |
Christus
| Facility | $19.20 | $19.20 | $19.20 | |
Cigna
| Professional | $65.55 | $65.55 | $145.05 | |
United
| Professional | $9.98 | $9.98 | $9.98 |