| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $8.28 | $27.52 | $100.27 | |
Oscar Health
| Facility | $3,750.00 | $4,052.78 | $31,169.51 |
Medical/Surgical Supplies and Devices - Non Sterile Supply
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $8.28 | $27.52 | $100.27 | |
Oscar Health
| Facility | $3,750.00 | $4,052.78 | $31,169.51 |