| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $436.52 | $724.44 | $1,778.28 | |
Medical Mutual of Ohio
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |
RBC deglycerolized
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $436.52 | $724.44 | $1,778.28 | |
Medical Mutual of Ohio
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |