| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $71.55 | $137.56 | $282.52 | |
Cigna
| Facility | $171.15 | $171.15 | $171.15 | |
Medical Mutual of Ohio
| Facility | $171.15 | $171.15 | $171.15 |
Level 2 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $71.55 | $137.56 | $282.52 | |
Cigna
| Facility | $171.15 | $171.15 | $171.15 | |
Medical Mutual of Ohio
| Facility | $171.15 | $171.15 | $171.15 |