| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $544.99 | $544.99 | $544.99 | |
Qualchoice
| Facility | $653.99 | $653.99 | $653.99 | |
United
| Facility | $455.00 | $455.00 | $455.00 |
Radiology-Diagnostic Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $544.99 | $544.99 | $544.99 | |
Qualchoice
| Facility | $653.99 | $653.99 | $653.99 | |
United
| Facility | $455.00 | $455.00 | $455.00 |