| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6,194.51 | $6,194.51 | $6,194.51 |
Other Ear Nose Mouth Throat O R Procedures W O Cc Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6,194.51 | $6,194.51 | $6,194.51 |