| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $462.77 | $517.53 | $517.53 | |
Cigna
| Facility | $83.00 | $83.00 | $83.00 | |
Medica
| Professional | $162.00 | $162.00 | $162.00 |
Unlisted preventive medicine service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $462.77 | $517.53 | $517.53 | |
Cigna
| Facility | $83.00 | $83.00 | $83.00 | |
Medica
| Professional | $162.00 | $162.00 | $162.00 |