| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6,279.39 | $6,279.39 | $6,279.39 |
Radiology Therapeutic and/or Chemotherapy Administration-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $6,279.39 | $6,279.39 | $6,279.39 |