| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.20 | $69.00 | $72.00 | |
Cigna
| Professional | $34.82 | $34.82 | $34.82 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Unlisted Preventive Medicine Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.20 | $69.00 | $72.00 | |
Cigna
| Professional | $34.82 | $34.82 | $34.82 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |