| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $179.65 | $616.16 | $1,536.72 | |
Anthem BCBS
| Facility | $354.00 | $354.00 | $393.00 |
Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $179.65 | $616.16 | $1,536.72 | |
Anthem BCBS
| Facility | $354.00 | $354.00 | $393.00 |