| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $9.32 | $24.54 | $1,032.00 | |
Medical Mutual of Ohio
| Facility | $6.18 | $39.90 | $186.00 |
Medical/Surgical Supplies and Devices-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $9.32 | $24.54 | $1,032.00 | |
Medical Mutual of Ohio
| Facility | $6.18 | $39.90 | $186.00 |