| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $354.81 | $446.68 | $588.84 | |
AmeriHealth
| Facility | $173.78 | $208.93 | $512.86 | |
Horizon BCBS
| Facility | $70.79 | $218.78 | $776.25 |
Other Diagnostic Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $354.81 | $446.68 | $588.84 | |
AmeriHealth
| Facility | $173.78 | $208.93 | $512.86 | |
Horizon BCBS
| Facility | $70.79 | $218.78 | $776.25 |