| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $3.17 | $20.02 | $1,516.80 | |
Medica
| Facility | $16.34 | $111.53 | $472.12 |
Medical/Surgical Supplies and Devices-Nonsterile Supply
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $3.17 | $20.02 | $1,516.80 | |
Medica
| Facility | $16.34 | $111.53 | $472.12 |