| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $185.39 | $285.80 | $691.94 | |
Cigna
| Facility | $2,795.00 | $2,795.00 | $2,795.00 | |
Pacific Source
| Facility | $76.16 | $350.20 | $920.72 |
Other Imaging Services - Ultrasound
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $185.39 | $285.80 | $691.94 | |
Cigna
| Facility | $2,795.00 | $2,795.00 | $2,795.00 | |
Pacific Source
| Facility | $76.16 | $350.20 | $920.72 |