| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $1,430.00 | $1,430.00 | $1,430.00 |
Ambetter
| Professional | QZ | $290.22 | $1,430.00 | $1,950.00 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $1,430.00 | $1,430.00 | $1,430.00 |
Ambetter
| Professional | QZ | $290.22 | $1,430.00 | $1,950.00 |