I need answers

How was my copay $180 with Aetna but the cash price to be seen at this clinic is $120? WTF!?

Did they do any tests or anything? Because tests are always extra.

Get an X-ray. You pay for the doctor visit, and then you pay for the X-ray, and there's a good chance the clinic or hospital will send it to a third party to be analyzed, and you'll pay for that too.

They did a strep and Covid test. Man, them things are basically free at schools.

A Covid test from an actual doctor was likely a PCR test, rather than the rapid tests you can get for free (which also do cost money, but have been subsidized because of how significant a public health concern it is). The strep test would also have involved a lab, so that's more costs.