| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $171.94 | $171.94 | $294.63 | |
Anthem BCBS
| Facility | $261.51 | $378.38 | $423.14 | |
Oscar Health
| Facility | $696.68 | $1,261.90 | $1,274.00 |
Other Diagnostic Services - Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $171.94 | $171.94 | $294.63 | |
Anthem BCBS
| Facility | $261.51 | $378.38 | $423.14 | |
Oscar Health
| Facility | $696.68 | $1,261.90 | $1,274.00 |