| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $246.00 | $246.00 | $811.32 | |
Medica
| Facility | $584.79 | $584.79 | $584.79 |
Other Imaging Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $246.00 | $246.00 | $811.32 | |
Medica
| Facility | $584.79 | $584.79 | $584.79 |