| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $80.00 | $80.00 | $80.00 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,250,000.00 | |
Wellpoint
| Professional | $750.00 | $750.00 | $750.00 |
Unspecified Diagnostic Procedure, By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $80.00 | $80.00 | $80.00 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,250,000.00 | |
Wellpoint
| Professional | $750.00 | $750.00 | $750.00 |