| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $125.89 | $1,412.54 | $2,041.74 | |
Medica
| Facility | $398.11 | $1,096.48 | $2,454.71 | |
Oscar Health
| Facility | $851.14 | $851.14 | $1,000.00 |
Radiology Diagnostic-Other Radiology-Diagnostic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $125.89 | $1,412.54 | $2,041.74 | |
Medica
| Facility | $398.11 | $1,096.48 | $2,454.71 | |
Oscar Health
| Facility | $851.14 | $851.14 | $1,000.00 |