| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $174.33 | $174.33 | $174.33 |
Anes Extraperitoneal Lwr Abd W/Urinary Tract Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $174.33 | $174.33 | $174.33 |