| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $10.66 | $64.45 | $111.06 | |
Medica
| Facility | $350.85 | $350.85 | $350.85 |
Laboratory - Other Laboratory
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $10.66 | $64.45 | $111.06 | |
Medica
| Facility | $350.85 | $350.85 | $350.85 |