| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $60.16 | $252.69 | $518.76 | |
Oscar Health
| Facility | $323.89 | $353.87 | $1,476.03 |
Other Diagnostic Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $60.16 | $252.69 | $518.76 | |
Oscar Health
| Facility | $323.89 | $353.87 | $1,476.03 |