| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $69.18 | $69.18 | |
Martin's Point
| Professional | $19.95 | $23.44 | $93.33 |
Unlisted preventive medicine service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $69.18 | $69.18 | |
Martin's Point
| Professional | $19.95 | $23.44 | $93.33 |