| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $109.19 | $119.28 | $119.28 |
Rad S&I Perq Vrtpls/Sacrplsty Pr Vrt Body Fluo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $109.19 | $119.28 | $119.28 |