| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $449.12 | $863.44 | $1,773.29 | |
Cigna
| Facility | $1,642.52 | $1,642.52 | $1,642.52 | |
Medical Mutual of Ohio
| Facility | $1,642.52 | $1,642.52 | $1,642.52 |
Level 2 Urology and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $449.12 | $863.44 | $1,773.29 | |
Cigna
| Facility | $1,642.52 | $1,642.52 | $1,642.52 | |
Medical Mutual of Ohio
| Facility | $1,642.52 | $1,642.52 | $1,642.52 |