| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $104.71 | $204.17 | $1,348.96 | |
Christus
| Facility | $28.18 | $67.61 | $67.61 |
Other Diagnostic Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $104.71 | $204.17 | $1,348.96 | |
Christus
| Facility | $28.18 | $67.61 | $67.61 |