| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $28.18 | $64.57 | $138.04 | |
Medica
| Facility | $354.81 | $354.81 | $354.81 |
Laboratory-Other Laboratory
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $28.18 | $64.57 | $138.04 | |
Medica
| Facility | $354.81 | $354.81 | $354.81 |