| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $357.03 | $686.39 | $1,409.67 | |
Cigna
| Facility | $1,305.72 | $1,305.72 | $1,305.72 | |
Medical Mutual of Ohio
| Facility | $1,305.72 | $1,305.72 | $1,305.72 |
Level 3 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $357.03 | $686.39 | $1,409.67 | |
Cigna
| Facility | $1,305.72 | $1,305.72 | $1,305.72 | |
Medical Mutual of Ohio
| Facility | $1,305.72 | $1,305.72 | $1,305.72 |