| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.00 | $200.00 | $210.00 | |
Ambetter
| Facility | $17.82 | $17.82 | $17.82 |
Professional Fees - Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.00 | $200.00 | $210.00 | |
Ambetter
| Facility | $17.82 | $17.82 | $17.82 |