| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.50 | $45.39 | $69.00 | |
Cigna
| Professional | $145.05 | $145.05 | $145.05 | |
Medica
| Professional | $70.00 | $162.00 | $162.00 |
Unlisted Preventive Medicine Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.50 | $45.39 | $69.00 | |
Cigna
| Professional | $145.05 | $145.05 | $145.05 | |
Medica
| Professional | $70.00 | $162.00 | $162.00 |