| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $47.89 | $92.07 | $189.09 | |
Cigna
| Facility | $175.15 | $175.15 | $175.15 | |
Medical Mutual of Ohio
| Facility | $175.15 | $175.15 | $175.15 |
Level 2 Drug Administration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $47.89 | $92.07 | $189.09 | |
Cigna
| Facility | $175.15 | $175.15 | $175.15 | |
Medical Mutual of Ohio
| Facility | $175.15 | $175.15 | $175.15 |