| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $172.94 | $172.94 | $172.94 | |
BCBS
| Facility | $41.47 | $232.22 | $1,318.54 |
Radiology-Diagnostic Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $172.94 | $172.94 | $172.94 | |
BCBS
| Facility | $41.47 | $232.22 | $1,318.54 |