| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $210.75 | $210.75 | $210.75 | |
Oscar Health
| Facility | $81.40 | $309.69 | $332.03 |
Professional Fees - Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $210.75 | $210.75 | $210.75 | |
Oscar Health
| Facility | $81.40 | $309.69 | $332.03 |