| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $131.28 | $339.05 | $805.38 | |
Anthem BCBS
| Facility | $400.50 | $490.70 | $1,110.00 |
Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $131.28 | $339.05 | $805.38 | |
Anthem BCBS
| Facility | $400.50 | $490.70 | $1,110.00 |