| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,438.81 | $12,378.62 | $25,422.59 | |
Cigna
| Facility | $23,547.82 | $23,547.82 | $23,547.82 | |
Medical Mutual of Ohio
| Facility | $23,547.82 | $23,547.82 | $23,547.82 |
Level 3 Breast/Lymphatic Surgery and Related Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,438.81 | $12,378.62 | $25,422.59 | |
Cigna
| Facility | $23,547.82 | $23,547.82 | $23,547.82 | |
Medical Mutual of Ohio
| Facility | $23,547.82 | $23,547.82 | $23,547.82 |