| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $5.75 | $5.75 | $13.49 | |
Medica
| Facility | $77.62 | $77.62 | $77.62 |
Laboratory-Other Laboratory
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $5.75 | $5.75 | $13.49 | |
Medica
| Facility | $77.62 | $77.62 | $77.62 |