| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $141.76 | $272.54 | $559.74 | |
Cigna
| Facility | $518.47 | $518.47 | $518.47 | |
Medical Mutual of Ohio
| Facility | $518.47 | $518.47 | $518.47 |
Level 3 Drug Administration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $141.76 | $272.54 | $559.74 | |
Cigna
| Facility | $518.47 | $518.47 | $518.47 | |
Medical Mutual of Ohio
| Facility | $518.47 | $518.47 | $518.47 |