| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.14 | $19.27 | $27.52 | |
CareFirst
| Professional | $28.80 | $32.00 | $42.56 | |
Kaiser Permanente
| Professional | $22.50 | $26.05 | $48.72 |
Re-Evaluation - Limited Problem Focused
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.14 | $19.27 | $27.52 | |
CareFirst
| Professional | $28.80 | $32.00 | $42.56 | |
Kaiser Permanente
| Professional | $22.50 | $26.05 | $48.72 |