| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Facility | $16,595.87 | $16,595.87 | $16,595.87 | |
United
| Facility | $4,897.79 | $4,897.79 | $10,715.19 |
Percutaneous Cardiovascular Procedures With Non Drug Eluting Stent Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Facility | $16,595.87 | $16,595.87 | $16,595.87 | |
United
| Facility | $4,897.79 | $4,897.79 | $10,715.19 |