| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $60.95 | $401.10 | $462.05 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |
Kidney Imaging Morphology Tomographic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $60.95 | $401.10 | $462.05 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |