| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $5.73 | $17.60 | $102.73 | |
Medica
| Facility | $7.05 | $33.39 | $392.76 |
Medical/Surgical Supplies and Devices-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $5.73 | $17.60 | $102.73 | |
Medica
| Facility | $7.05 | $33.39 | $392.76 |