| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $910.00 | $910.00 | $910.00 | |
Qualchoice
| Facility | $1,046.50 | $1,046.50 | $8,437.50 |
Other Antepartum Diagnoses W Medical Complications
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $910.00 | $910.00 | $910.00 | |
Qualchoice
| Facility | $1,046.50 | $1,046.50 | $8,437.50 |