| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12,835.93 | $12,835.93 | $12,835.93 |
Testes Procedures, Non-Malig Age >17
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12,835.93 | $12,835.93 | $12,835.93 |