| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $223.34 | $316.69 | $526.72 | |
BCBS
| Facility | $80.98 | $126.57 | $273.66 | |
Medica
| Facility | $366.30 | $411.28 | $752.60 |
Other Diagnostic Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $223.34 | $316.69 | $526.72 | |
BCBS
| Facility | $80.98 | $126.57 | $273.66 | |
Medica
| Facility | $366.30 | $411.28 | $752.60 |