| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.62 | $57.54 | $72.44 | |
Providence
| Facility | $6.03 | $6.03 | $6.03 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |
Unlisted preventive medicine service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.62 | $57.54 | $72.44 | |
Providence
| Facility | $6.03 | $6.03 | $6.03 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |