| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.50 | $45.00 | $45.39 | |
Sanford Health Plan
| Professional | $54.40 | $54.40 | $54.40 |
Unlisted Preventive Medicine Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.50 | $45.00 | $45.39 | |
Sanford Health Plan
| Professional | $54.40 | $54.40 | $54.40 |