| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,872.96 | $1,884.60 | $3,196.15 | |
Medica
| Facility | $1,533.35 | $1,672.20 | $2,366.00 |
Trauma Level 4
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,872.96 | $1,884.60 | $3,196.15 | |
Medica
| Facility | $1,533.35 | $1,672.20 | $2,366.00 |