| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $28.53 | $40.09 | $164.51 | |
Oscar Health
| Facility | $16,079.13 | $26,998.30 | $40,503.08 |
Medical/Surgical Supplies and Devices-Nonsterile Supply
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $28.53 | $40.09 | $164.51 | |
Oscar Health
| Facility | $16,079.13 | $26,998.30 | $40,503.08 |