| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $111.25 | $399.84 | $1,336.58 | |
Christus
| Facility | $28.00 | $68.25 | $68.25 |
Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $111.25 | $399.84 | $1,336.58 | |
Christus
| Facility | $28.00 | $68.25 | $68.25 |