| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $175.96 | $175.96 | $175.96 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |
Medical/Surgical Supplies and Devices - Other Supplies/Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $175.96 | $175.96 | $175.96 | |
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |