| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $47,249.53 | $47,249.53 | $47,249.53 | |
Medical Mutual of Ohio
| Professional | $99.21 | $99.21 | $111.75 |
Auditor Evoke Potent Limit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $47,249.53 | $47,249.53 | $47,249.53 | |
Medical Mutual of Ohio
| Professional | $99.21 | $99.21 | $111.75 |