| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2,169.02 | $2,169.02 | $2,169.02 | |
AmeriHealth
| Facility | $16.13 | $81.13 | $352.65 |
Medical/Surgical Supplies and Devices - Sterile Supply
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2,169.02 | $2,169.02 | $2,169.02 | |
AmeriHealth
| Facility | $16.13 | $81.13 | $352.65 |