| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $59.24 | $113.89 | $233.91 | |
Cigna
| Facility | $198.91 | $198.91 | $198.91 | |
Medical Mutual of Ohio
| Facility | $198.91 | $198.91 | $198.91 |
Level 1 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $59.24 | $113.89 | $233.91 | |
Cigna
| Facility | $198.91 | $198.91 | $198.91 | |
Medical Mutual of Ohio
| Facility | $198.91 | $198.91 | $198.91 |