| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.62 | $45.71 | $45.71 | |
Sanford Health Plan
| Professional | $54.95 | $54.95 | $54.95 |
Unlisted preventive medicine service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.62 | $45.71 | $45.71 | |
Sanford Health Plan
| Professional | $54.95 | $54.95 | $54.95 |