| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $27.21 | $32.39 | $111.59 | |
United
| Facility | $2,500.00 | $2,500.00 | $2,500.00 |
Preventive Care Services - General
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $27.21 | $32.39 | $111.59 | |
United
| Facility | $2,500.00 | $2,500.00 | $2,500.00 |