| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $371.54 | $616.60 | $2,570.40 | |
Medica
| Facility | $95.50 | $138.04 | $891.25 | |
Oscar Health
| Facility | $257.04 | $295.12 | $1,096.48 |
Other Diagnostic Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $371.54 | $616.60 | $2,570.40 | |
Medica
| Facility | $95.50 | $138.04 | $891.25 | |
Oscar Health
| Facility | $257.04 | $295.12 | $1,096.48 |