| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $645.65 | $1,071.52 | $2,691.53 | |
Medical Mutual of Ohio
| Facility | $2,398.83 | $2,398.83 | $2,398.83 |
Level 2 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $645.65 | $1,071.52 | $2,691.53 | |
Medical Mutual of Ohio
| Facility | $2,398.83 | $2,398.83 | $2,398.83 |