| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $230.36 | $246.71 | $717.59 | |
Oscar Health
| Facility | $890.85 | $919.05 | $1,844.24 |
Other Diagnostic Services-Other Diagnostic Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $230.36 | $246.71 | $717.59 | |
Oscar Health
| Facility | $890.85 | $919.05 | $1,844.24 |