| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $93.60 | $93.60 | $93.60 | |
Qualchoice
| Facility | $107.64 | $107.64 | $107.64 |
Anesthesia - Anesthesia Incident to Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $93.60 | $93.60 | $93.60 | |
Qualchoice
| Facility | $107.64 | $107.64 | $107.64 |