| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $248.76 | $1,150.00 | $1,950.00 |
Ambetter
| Professional | QZ | $184.32 | $1,040.00 | $1,495.00 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $248.76 | $1,150.00 | $1,950.00 |
Ambetter
| Professional | QZ | $184.32 | $1,040.00 | $1,495.00 |