| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $255.78 | $435.05 | $562.50 | |
Anthem BCBS
| Facility | $636.00 | $712.00 | $847.00 |
Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $255.78 | $435.05 | $562.50 | |
Anthem BCBS
| Facility | $636.00 | $712.00 | $847.00 |