| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6.02 | $29.84 | $58.60 | |
Medica
| Facility | $4.69 | $13.09 | $153.07 |
Medical/Surgical Supplies and Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6.02 | $29.84 | $58.60 | |
Medica
| Facility | $4.69 | $13.09 | $153.07 |