| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $105.27 | $202.39 | $415.66 | |
Cigna
| Facility | $385.01 | $385.01 | $385.01 | |
Medical Mutual of Ohio
| Facility | $385.01 | $385.01 | $385.01 |
Level 1 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $105.27 | $202.39 | $415.66 | |
Cigna
| Facility | $385.01 | $385.01 | $385.01 | |
Medical Mutual of Ohio
| Facility | $385.01 | $385.01 | $385.01 |