| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2.51 | $13.18 | $53.70 | |
Christus
| Facility | $12.02 | $16.22 | $25.70 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Providence
| Facility | $501.19 | $501.19 | $501.19 |
Medical/Surgical Supplies and Devices-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2.51 | $13.18 | $53.70 | |
Christus
| Facility | $12.02 | $16.22 | $25.70 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Providence
| Facility | $501.19 | $501.19 | $501.19 |