| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,367.13 | $1,367.13 | $1,367.13 |
Hemodialysis / Outpatient Or
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,367.13 | $1,367.13 | $1,367.13 |