| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $8.91 | $8.91 | |
Well Sense
| Facility | $2,511.89 | $3,388.44 | $4,168.69 |
Unlisted preventive medicine service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $8.91 | $8.91 | |
Well Sense
| Facility | $2,511.89 | $3,388.44 | $4,168.69 |