| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $62.24 | $119.66 | $245.76 | |
Cigna
| Facility | $227.64 | $227.64 | $227.64 | |
Medical Mutual of Ohio
| Facility | $227.64 | $227.64 | $227.64 |
Level 2 Health and Behavior Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $62.24 | $119.66 | $245.76 | |
Cigna
| Facility | $227.64 | $227.64 | $227.64 | |
Medical Mutual of Ohio
| Facility | $227.64 | $227.64 | $227.64 |