| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $60.26 | $72.44 | |
BCBS
| Professional | $165.96 | $165.96 | $269.15 | |
Medica
| Professional | $162.18 | $162.18 | $162.18 |
Unlisted preventive medicine service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $60.26 | $72.44 | |
BCBS
| Professional | $165.96 | $165.96 | $269.15 | |
Medica
| Professional | $162.18 | $162.18 | $162.18 |