| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6.87 | $15.95 | $63.26 | |
Qualchoice
| Facility | $6.54 | $13.34 | $72.34 |
Medical/Surgical Supplies and Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6.87 | $15.95 | $63.26 | |
Qualchoice
| Facility | $6.54 | $13.34 | $72.34 |