| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $57.15 | $57.15 | $57.15 | |
BCBS
| Facility | $30.09 | $371.20 | $1,616.36 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,800.00 |
Preventive Care Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $57.15 | $57.15 | $57.15 | |
BCBS
| Facility | $30.09 | $371.20 | $1,616.36 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,800.00 |