| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $240.30 | $461.98 | $948.80 | |
Cigna
| Facility | $332.94 | $332.94 | $332.94 | |
Medical Mutual of Ohio
| Facility | $332.94 | $332.94 | $332.94 |
Level 2 Imaging with Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $240.30 | $461.98 | $948.80 | |
Cigna
| Facility | $332.94 | $332.94 | $332.94 | |
Medical Mutual of Ohio
| Facility | $332.94 | $332.94 | $332.94 |