| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $297.12 | $297.12 | $297.12 | |
Medical Mutual of Ohio
| Facility | $180.00 | $180.00 | $180.00 |
Labor
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $297.12 | $297.12 | $297.12 | |
Medical Mutual of Ohio
| Facility | $180.00 | $180.00 | $180.00 |