| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $5,391.75 | $5,391.75 | $5,391.75 |
Radiology Diagnostic-Arteriography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $5,391.75 | $5,391.75 | $5,391.75 |