| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $195.18 | $868.91 | $3,243.75 | |
United
| Facility | $550.00 | $550.00 | $550.00 |
Treatment/Observation Room - Treatment Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $195.18 | $868.91 | $3,243.75 | |
United
| Facility | $550.00 | $550.00 | $550.00 |