| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,630.27 | $2,884.03 | $3,388.44 | |
Medical Mutual of Ohio
| Professional | $1,258.93 | $1,258.93 | $1,258.93 |
Plmt Xtn Prosth Evasc Rpr Arysm/Dsj 1St Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,630.27 | $2,884.03 | $3,388.44 | |
Medical Mutual of Ohio
| Professional | $1,258.93 | $1,258.93 | $1,258.93 |