| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4.70 | $4.70 | $4.70 | |
Medical Mutual of Ohio
| Facility | $4.70 | $4.70 | $4.70 |
Inj. jivi 1 iu
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4.70 | $4.70 | $4.70 | |
Medical Mutual of Ohio
| Facility | $4.70 | $4.70 | $4.70 |