| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.13 | $69.13 | $69.13 | |
Aetna
| Professional | $69.12 | $87.10 | $170.00 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Federally Qualified Health Center (FQHC) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.13 | $69.13 | $69.13 | |
Aetna
| Professional | $69.12 | $87.10 | $170.00 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |