| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,125.46 | $1,125.46 | $1,125.46 | |
Medica
| Facility | $4,972.50 | $4,972.50 | $4,972.50 |
MRA - Head and Neck
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,125.46 | $1,125.46 | $1,125.46 | |
Medica
| Facility | $4,972.50 | $4,972.50 | $4,972.50 |