| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $354.81 | $575.44 | |
Medical Mutual of Ohio
| Professional | $141.25 | $141.25 | $223.87 |
Radj Dlvr 2 Areas 3/>Ports 1 Mlt Blks 11-19Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $354.81 | $575.44 | |
Medical Mutual of Ohio
| Professional | $141.25 | $141.25 | $223.87 |