| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Facility | $38.90 | $95.50 | $100.00 | |
Oscar Health
| Facility | $67.61 | $331.13 | $363.08 |
Freestanding Clinic-Clinic Visit by Member to RHC/FQHC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Facility | $38.90 | $95.50 | $100.00 | |
Oscar Health
| Facility | $67.61 | $331.13 | $363.08 |