| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $209.53 | $402.82 | $827.30 | |
Cigna
| Facility | $766.29 | $766.29 | $766.29 | |
Medical Mutual of Ohio
| Facility | $766.29 | $766.29 | $766.29 |
Level 2 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $209.53 | $402.82 | $827.30 | |
Cigna
| Facility | $766.29 | $766.29 | $766.29 | |
Medical Mutual of Ohio
| Facility | $766.29 | $766.29 | $766.29 |