| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30.20 | $30.20 | $30.20 | |
Medical Mutual of Ohio
| Facility | $30.20 | $30.20 | $30.20 | |
Molina
| Facility | $5,248.07 | $8,912.51 | $14,454.40 |
Other Room & Board - Sterile Environment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30.20 | $30.20 | $30.20 | |
Medical Mutual of Ohio
| Facility | $30.20 | $30.20 | $30.20 | |
Molina
| Facility | $5,248.07 | $8,912.51 | $14,454.40 |