| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.12 | $21.41 | $28.70 | |
Anthem BCBS
| Professional | $26.95 | $37.78 | $41.00 | |
Harvard Pilgrim
| Professional | $33.97 | $55.88 | $104.85 |
Re-Evaluation - Limited, Problem Focused (Established Patient; Not Post-Operative Visit)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.12 | $21.41 | $28.70 | |
Anthem BCBS
| Professional | $26.95 | $37.78 | $41.00 | |
Harvard Pilgrim
| Professional | $33.97 | $55.88 | $104.85 |