| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6.61 | $15.49 | $64.57 | |
Medica
| Facility | $5.01 | $81.28 | $831.76 |
Medical/Surgical Supplies and Devices-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6.61 | $15.49 | $64.57 | |
Medica
| Facility | $5.01 | $81.28 | $831.76 |