| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.71 | $84.71 | $84.71 | |
Aetna
| Professional | $69.12 | $84.71 | $96.10 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
Medica
| Facility | $84.71 | $96.10 | $156.71 |
A Federally Qualified Health Center (Fqhc) Visit Established Patient
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.71 | $84.71 | $84.71 | |
Aetna
| Professional | $69.12 | $84.71 | $96.10 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
Medica
| Facility | $84.71 | $96.10 | $156.71 |