| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2.83 | $2.83 | $3.50 | |
Oscar Health
| Facility | $3,206.99 | $4,889.07 | $23,986.98 |
Medical/Surgical Supplies and Devices - Other Supplies/Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2.83 | $2.83 | $3.50 | |
Oscar Health
| Facility | $3,206.99 | $4,889.07 | $23,986.98 |