| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $223.18 | $429.07 | $881.22 | |
Cigna
| Facility | $816.24 | $816.24 | $816.24 | |
Medical Mutual of Ohio
| Facility | $816.24 | $816.24 | $816.24 |
Level 4 Drug Administration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $223.18 | $429.07 | $881.22 | |
Cigna
| Facility | $816.24 | $816.24 | $816.24 | |
Medical Mutual of Ohio
| Facility | $816.24 | $816.24 | $816.24 |