| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $80.78 | $99.29 | $267.62 | |
Health Alliance Plan
| Facility | $94.00 | $148.00 | $180.00 |
Clinic-Urgent Care Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $80.78 | $99.29 | $267.62 | |
Health Alliance Plan
| Facility | $94.00 | $148.00 | $180.00 |