| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $192.13 | $369.38 | $758.62 | |
Cigna
| Facility | $702.68 | $702.68 | $702.68 | |
Medical Mutual of Ohio
| Facility | $702.68 | $702.68 | $702.68 |
Level 4 Type B ED Visits
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $192.13 | $369.38 | $758.62 | |
Cigna
| Facility | $702.68 | $702.68 | $702.68 | |
Medical Mutual of Ohio
| Facility | $702.68 | $702.68 | $702.68 |