| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $119.78 | $230.28 | $472.94 | |
Cigna
| Facility | $176.14 | $176.14 | $176.14 | |
Medical Mutual of Ohio
| Facility | $176.14 | $176.14 | $176.14 |
Level 1 Imaging with Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $119.78 | $230.28 | $472.94 | |
Cigna
| Facility | $176.14 | $176.14 | $176.14 | |
Medical Mutual of Ohio
| Facility | $176.14 | $176.14 | $176.14 |