| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $184.09 | $295.02 | $455.80 | |
Anthem BCBS
| Facility | $354.00 | $354.00 | $393.00 |
Other Diagnostic Services - Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $184.09 | $295.02 | $455.80 | |
Anthem BCBS
| Facility | $354.00 | $354.00 | $393.00 |