| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Anthem BCBS
| Professional | $52.69 | $53.90 | $60.60 | |
Medica
| Facility | $25.00 | $25.00 | $135.00 |
Unlisted Home Visit Service/Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Anthem BCBS
| Professional | $52.69 | $53.90 | $60.60 | |
Medica
| Facility | $25.00 | $25.00 | $135.00 |