| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $41.58 | $146.72 | $357.92 | |
Cigna
| Facility | $800.00 | $800.00 | $800.00 | |
Qualchoice
| Facility | $39.09 | $168.73 | $411.61 |
Other Diagnostic Services - Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $41.58 | $146.72 | $357.92 | |
Cigna
| Facility | $800.00 | $800.00 | $800.00 | |
Qualchoice
| Facility | $39.09 | $168.73 | $411.61 |