| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,276.44 | $2,453.96 | $5,039.83 | |
Cigna
| Facility | $4,668.18 | $4,668.18 | $4,668.18 | |
Medical Mutual of Ohio
| Facility | $4,668.18 | $4,668.18 | $4,668.18 |
Level 2 Upper GI Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,276.44 | $2,453.96 | $5,039.83 | |
Cigna
| Facility | $4,668.18 | $4,668.18 | $4,668.18 | |
Medical Mutual of Ohio
| Facility | $4,668.18 | $4,668.18 | $4,668.18 |