| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.38 | $57.54 | $93.33 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Emblem Health
| Professional | $25.12 | $25.12 | $25.12 |
Unlisted preventive medicine service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.38 | $57.54 | $93.33 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Emblem Health
| Professional | $25.12 | $25.12 | $25.12 |