| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6,279.39 | $6,279.39 | $6,279.39 |
Radiology - Therapeutic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6,279.39 | $6,279.39 | $6,279.39 |