| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12.88 | $34.67 | $177.83 | |
Medica
| Facility | $11.48 | $61.66 | $323.59 |
Medical/Surgical Supplies and Devices-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12.88 | $34.67 | $177.83 | |
Medica
| Facility | $11.48 | $61.66 | $323.59 |