| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.13 | $69.13 | $69.13 | |
Aetna
| Professional | $69.12 | $69.13 | $188.13 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
MVP Health Care
| Professional | $20.93 | $20.93 | $20.93 |
A Federally Qualified Health Center (Fqhc) Visit Established Patient
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.13 | $69.13 | $69.13 | |
Aetna
| Professional | $69.12 | $69.13 | $188.13 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
MVP Health Care
| Professional | $20.93 | $20.93 | $20.93 |