| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $63.00 | $63.00 |
Freestanding Clinic-Clinic Visit by Member to RHC/FQHC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $63.00 | $63.00 |