| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $878.43 | $1,688.78 | $3,468.33 | |
Cigna
| Facility | $3,212.56 | $3,212.56 | $3,212.56 | |
Medical Mutual of Ohio
| Facility | $3,212.56 | $3,212.56 | $3,212.56 |
Level 3 Nuclear Medicine and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $878.43 | $1,688.78 | $3,468.33 | |
Cigna
| Facility | $3,212.56 | $3,212.56 | $3,212.56 | |
Medical Mutual of Ohio
| Facility | $3,212.56 | $3,212.56 | $3,212.56 |