| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $110.32 | $121.90 | $121.90 |
Rad S&I Perq Vrtpls/Sacrplsty Per Vrt Body Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $110.32 | $121.90 | $121.90 |