| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $60.66 | $133.04 | $380.78 | |
Medica
| Facility | $99.25 | $156.00 | $231.44 |
Other Therapeutic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $60.66 | $133.04 | $380.78 | |
Medica
| Facility | $99.25 | $156.00 | $231.44 |