| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $26.92 | $26.92 | $64.57 | |
Cigna
| Facility | $60.26 | $60.26 | $60.26 | |
Qualchoice
| Facility | $30.90 | $30.90 | $74.13 |
Freestanding Clinic-Clinic Visit by Member to RHC/FQHC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $26.92 | $26.92 | $64.57 | |
Cigna
| Facility | $60.26 | $60.26 | $60.26 | |
Qualchoice
| Facility | $30.90 | $30.90 | $74.13 |