According to a new report from the American Medical Association, a "significant absence of health insurer competition" is present in 70 percent of metropolitan areas.

The study, which looked at 385 metropolitan areas in all 50 states, said that about 68 percent of the metropolitan areas studied by the AMA had one insurance company with a combined market share of 50 percent or more among HMOs, PPOs and POSs.

So which states fare the worst? Find out what are the top 10 states with the least competitive health insurance markets.

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