| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $209.26 | $260.27 | $419.68 | |
Medical Mutual of Ohio
| Professional | $121.24 | $121.24 | $167.33 |
Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 20Mev/<
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $209.26 | $260.27 | $419.68 | |
Medical Mutual of Ohio
| Professional | $121.24 | $121.24 | $167.33 |