| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $320.64 | $579.02 | $1,430.40 | |
Medica
| Facility | $96.10 | $137.40 | $883.39 |
Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $320.64 | $579.02 | $1,430.40 | |
Medica
| Facility | $96.10 | $137.40 | $883.39 |