| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $104.71 | $173.78 | $426.58 | |
Medical Mutual of Ohio
| Facility | $389.05 | $389.05 | $389.05 |
Level 1 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $104.71 | $173.78 | $426.58 | |
Medical Mutual of Ohio
| Facility | $389.05 | $389.05 | $389.05 |