| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2.86 | $57.60 | $564.41 | |
BCBS
| Facility | $28.57 | $367.87 | $1,613.62 |
Medical/Surgical Supplies and Devices-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2.86 | $57.60 | $564.41 | |
BCBS
| Facility | $28.57 | $367.87 | $1,613.62 |