| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $162.63 | $312.69 | $642.17 | |
Cigna
| Facility | $371.05 | $371.05 | $371.05 | |
Medical Mutual of Ohio
| Facility | $371.05 | $371.05 | $371.05 |
Level 3 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $162.63 | $312.69 | $642.17 | |
Cigna
| Facility | $371.05 | $371.05 | $371.05 | |
Medical Mutual of Ohio
| Facility | $371.05 | $371.05 | $371.05 |