| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2,921.26 | $2,921.26 | $2,921.26 | |
Medica
| Facility | $178.20 | $178.20 | $181.80 |
Operating Room Services - Other Operating Room Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2,921.26 | $2,921.26 | $2,921.26 | |
Medica
| Facility | $178.20 | $178.20 | $181.80 |