| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Facility | $22,387.21 | $22,387.21 | $22,387.21 |
New Technology - Level 23 ($2501-$3000)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Facility | $22,387.21 | $22,387.21 | $22,387.21 |