| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $630.86 | $1,212.83 | $2,490.86 | |
Cigna
| Facility | $2,307.17 | $2,307.17 | $2,307.17 | |
Medical Mutual of Ohio
| Facility | $2,307.17 | $2,307.17 | $2,307.17 |
Level 1 Upper GI Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $630.86 | $1,212.83 | $2,490.86 | |
Cigna
| Facility | $2,307.17 | $2,307.17 | $2,307.17 | |
Medical Mutual of Ohio
| Facility | $2,307.17 | $2,307.17 | $2,307.17 |