| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,819.70 | $1,819.70 | $7,413.10 | |
Qualchoice
| Facility | $2,089.30 | $2,089.30 | $8,511.38 |
Other Antepartum Diagnoses W Medical Complications
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,819.70 | $1,819.70 | $7,413.10 | |
Qualchoice
| Facility | $2,089.30 | $2,089.30 | $8,511.38 |