| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $44.30 | $44.30 | $73.25 | |
Qualchoice
| Facility | $50.59 | $50.59 | $84.36 |
Preventive Care Services - General
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $44.30 | $44.30 | $73.25 | |
Qualchoice
| Facility | $50.59 | $50.59 | $84.36 |