| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $108.11 | $207.84 | $426.87 | |
Cigna
| Facility | $395.39 | $395.39 | $395.39 | |
Medical Mutual of Ohio
| Facility | $395.39 | $395.39 | $395.39 |
Level 3 Health and Behavior Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $108.11 | $207.84 | $426.87 | |
Cigna
| Facility | $395.39 | $395.39 | $395.39 | |
Medical Mutual of Ohio
| Facility | $395.39 | $395.39 | $395.39 |