| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,378.39 | $2,649.97 | $5,442.37 | |
Cigna
| Facility | $5,041.03 | $5,041.03 | $5,041.03 | |
Medical Mutual of Ohio
| Facility | $5,041.03 | $5,041.03 | $5,041.03 |
Level 3 Urology and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,378.39 | $2,649.97 | $5,442.37 | |
Cigna
| Facility | $5,041.03 | $5,041.03 | $5,041.03 | |
Medical Mutual of Ohio
| Facility | $5,041.03 | $5,041.03 | $5,041.03 |