| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,806.87 | $9,241.20 | $18,979.12 | |
Cigna
| Facility | $17,579.52 | $17,579.52 | $17,579.52 | |
Medical Mutual of Ohio
| Facility | $17,579.52 | $17,579.52 | $17,579.52 |
Level 4 Musculoskeletal Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,806.87 | $9,241.20 | $18,979.12 | |
Cigna
| Facility | $17,579.52 | $17,579.52 | $17,579.52 | |
Medical Mutual of Ohio
| Facility | $17,579.52 | $17,579.52 | $17,579.52 |