| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $20.04 | $38.53 | $79.14 | |
Cigna
| Facility | $73.31 | $73.31 | $73.31 | |
Medical Mutual of Ohio
| Facility | $73.31 | $73.31 | $73.31 |
Level 1 Health and Behavior Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $20.04 | $38.53 | $79.14 | |
Cigna
| Facility | $73.31 | $73.31 | $73.31 | |
Medical Mutual of Ohio
| Facility | $73.31 | $73.31 | $73.31 |