| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $201.80 | $387.96 | $796.78 | |
Cigna
| Facility | $738.03 | $738.03 | $738.03 | |
Medical Mutual of Ohio
| Facility | $738.03 | $738.03 | $738.03 |
Level 3 Electronic Analysis of Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $201.80 | $387.96 | $796.78 | |
Cigna
| Facility | $738.03 | $738.03 | $738.03 | |
Medical Mutual of Ohio
| Facility | $738.03 | $738.03 | $738.03 |