| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $803.21 | $803.21 | $803.21 | |
Oscar Health
| Facility | $2,757.66 | $2,757.66 | $5,449.44 |
Radiology Diagnostic-Arthrography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $803.21 | $803.21 | $803.21 | |
Oscar Health
| Facility | $2,757.66 | $2,757.66 | $5,449.44 |