| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $11,706.99 | $22,506.69 | $46,223.12 | |
Cigna
| Facility | $42,814.44 | $42,814.44 | $42,814.44 | |
Medical Mutual of Ohio
| Facility | $42,814.44 | $42,814.44 | $42,814.44 |
Level 4 Breast/Lymphatic Surgery and Related Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $11,706.99 | $22,506.69 | $46,223.12 | |
Cigna
| Facility | $42,814.44 | $42,814.44 | $42,814.44 | |
Medical Mutual of Ohio
| Facility | $42,814.44 | $42,814.44 | $42,814.44 |