| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $304.02 | $401.60 | $483.92 | |
AmeriHealth
| Facility | $173.70 | $208.80 | $508.30 | |
Horizon BCBS
| Facility | $153.00 | $153.00 | $153.00 |
Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $304.02 | $401.60 | $483.92 | |
AmeriHealth
| Facility | $173.70 | $208.80 | $508.30 | |
Horizon BCBS
| Facility | $153.00 | $153.00 | $153.00 |