| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $31.04 | $59.68 | $122.57 | |
Cigna
| Facility | $113.53 | $113.53 | $113.53 | |
Medical Mutual of Ohio
| Facility | $113.53 | $113.53 | $113.53 |
Level 1 Drug Administration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $31.04 | $59.68 | $122.57 | |
Cigna
| Facility | $113.53 | $113.53 | $113.53 | |
Medical Mutual of Ohio
| Facility | $113.53 | $113.53 | $113.53 |