| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,570.40 | $3,548.13 | $4,073.80 | |
Medical Mutual of Ohio
| Professional | $645.65 | $645.65 | $691.83 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 |
Expl N/Flwd Surg Rpr W/Wo Lysis Other Artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,570.40 | $3,548.13 | $4,073.80 | |
Medical Mutual of Ohio
| Professional | $645.65 | $645.65 | $691.83 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 |