| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $41.69 | $125.89 | $354.81 | |
Qualchoice
| Facility | $38.90 | $144.54 | $407.38 |
Other Diagnostic Services - Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $41.69 | $125.89 | $354.81 | |
Qualchoice
| Facility | $38.90 | $144.54 | $407.38 |