| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $19.95 | $33.11 | $81.28 | |
Medical Mutual of Ohio
| Facility | $74.13 | $74.13 | $74.13 |
Level 1 Health and Behavior Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $19.95 | $33.11 | $81.28 | |
Medical Mutual of Ohio
| Facility | $74.13 | $74.13 | $74.13 |