| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $54.65 | $54.65 | $54.65 | |
Christus
| Facility | $1.69 | $1.69 | $30.00 |
Medical/Surgical Supplies and Devices-Nonsterile Supply
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $54.65 | $54.65 | $54.65 | |
Christus
| Facility | $1.69 | $1.69 | $30.00 |