| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $45.71 | $45.71 | $75.86 | |
Qualchoice
| Facility | $53.70 | $53.70 | $87.10 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $45.71 | $45.71 | $75.86 | |
Qualchoice
| Facility | $53.70 | $53.70 | $87.10 |