| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,857.00 | $6,904.00 | $8,088.00 | |
Medical Mutual of Ohio
| Professional | $2,268.73 | $2,311.59 | $2,311.59 |
Evasc Rpr Aaa W/Unibdy Bfrc Prosth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,857.00 | $6,904.00 | $8,088.00 | |
Medical Mutual of Ohio
| Professional | $2,268.73 | $2,311.59 | $2,311.59 |