| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.25 | $14.25 | $14.25 | |
Aetna
| Professional | $14.25 | $19.27 | $21.24 | |
Cigna
| Professional | $22.28 | $22.28 | $22.28 | |
United
| Professional | $33.00 | $33.00 | $59.00 |
Re-Evaluation - Limited, Problem Focused (Established Patient; Not Post-Operative Visit)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.25 | $14.25 | $14.25 | |
Aetna
| Professional | $14.25 | $19.27 | $21.24 | |
Cigna
| Professional | $22.28 | $22.28 | $22.28 | |
United
| Professional | $33.00 | $33.00 | $59.00 |