| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $29.80 | $103.49 | $207.90 | |
Medica
| Facility | $56.88 | $111.59 | $168.85 | |
United
| Facility | $2,500.00 | $2,500.00 | $2,500.00 |
Laboratory-Immunology
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $29.80 | $103.49 | $207.90 | |
Medica
| Facility | $56.88 | $111.59 | $168.85 | |
United
| Facility | $2,500.00 | $2,500.00 | $2,500.00 |