| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $912.01 | $1,513.56 | $3,801.89 | |
Medical Mutual of Ohio
| Facility | $3,388.44 | $3,388.44 | $3,388.44 |
Level 3 Therapeutic Radiation Treatment Preparation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $912.01 | $1,513.56 | $3,801.89 | |
Medical Mutual of Ohio
| Facility | $3,388.44 | $3,388.44 | $3,388.44 |