| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $73.78 | $73.78 | $73.78 | |
Oscar Health
| Facility | $238.92 | $267.57 | $304.37 |
Preventive Care Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $73.78 | $73.78 | $73.78 | |
Oscar Health
| Facility | $238.92 | $267.57 | $304.37 |