| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $319.72 | $319.72 | $319.72 |
Magnetic Resonance Technology (MRT)-Other MRT
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $319.72 | $319.72 | $319.72 |