| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $52.48 | $72.44 | |
United
| Professional | $10.00 | $10.00 | $10.00 |
Unlisted preventive medicine service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $52.48 | $72.44 | |
United
| Professional | $10.00 | $10.00 | $10.00 |