| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.29 | $20.29 | $20.29 | |
Aetna
| Professional | $17.30 | $20.29 | $24.49 | |
Cigna
| Professional | $22.28 | $22.28 | $22.28 |
Re-Evaluation - Limited, Problem Focused (Established Patient; Not Post-Operative Visit)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.29 | $20.29 | $20.29 | |
Aetna
| Professional | $17.30 | $20.29 | $24.49 | |
Cigna
| Professional | $22.28 | $22.28 | $22.28 |