| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $163.37 | $1,371.84 | $3,846.51 | |
Medica
| Facility | $400.80 | $1,090.05 | $2,475.23 |
Radiology-Diagnostic Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $163.37 | $1,371.84 | $3,846.51 | |
Medica
| Facility | $400.80 | $1,090.05 | $2,475.23 |