| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $51.55 | $51.55 | $114.33 | |
Molina
| Facility | $1,462.50 | $1,888.50 | $3,238.00 |
Professional Fees - Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $51.55 | $51.55 | $114.33 | |
Molina
| Facility | $1,462.50 | $1,888.50 | $3,238.00 |