| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $2,443.40 | $2,820.84 | $2,820.84 |
Insj Graft Aorta/Great Vessel W/Shun
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $2,443.40 | $2,820.84 | $2,820.84 |