| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $3.13 | $50.42 | $401.44 | |
Medica
| Facility | $9.75 | $54.38 | $348.80 |
Medical/Surgical Supplies and Devices - Non Sterile Supply
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $3.13 | $50.42 | $401.44 | |
Medica
| Facility | $9.75 | $54.38 | $348.80 |