| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $86.71 | $166.70 | $342.36 | |
Cigna
| Facility | $317.12 | $317.12 | $317.12 | |
Medical Mutual of Ohio
| Facility | $317.12 | $317.12 | $317.12 |
Clinic Visits and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $86.71 | $166.70 | $342.36 | |
Cigna
| Facility | $317.12 | $317.12 | $317.12 | |
Medical Mutual of Ohio
| Facility | $317.12 | $317.12 | $317.12 |