| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $85.00 | $85.00 | $261.00 | |
Medical Mutual of Ohio
| Facility | $85.00 | $85.00 | $261.00 |
Freestanding Clinic-Urgent Care Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $85.00 | $85.00 | $261.00 | |
Medical Mutual of Ohio
| Facility | $85.00 | $85.00 | $261.00 |