| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $10.38 | $41.56 | $266.45 | |
Qualchoice
| Facility | $10.65 | $47.79 | $209.78 |
Medical/Surgical Supplies and Devices-Nonsterile Supply
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $10.38 | $41.56 | $266.45 | |
Qualchoice
| Facility | $10.65 | $47.79 | $209.78 |