| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.33 | $358.62 | $578.27 | |
Medical Mutual of Ohio
| Professional | $142.87 | $142.87 | $221.75 |
Radj Dlvr 2 Areas 3/>Ports 1 Mlt Blks 11-19Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.33 | $358.62 | $578.27 | |
Medical Mutual of Ohio
| Professional | $142.87 | $142.87 | $221.75 |