| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $275.00 | $275.00 | $275.00 | |
Cigna
| Facility | $175.00 | $519.00 | $519.00 | |
Medical Mutual of Ohio
| Facility | $175.00 | $519.00 | $519.00 |
Hospice Service-Other Hospice Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $275.00 | $275.00 | $275.00 | |
Cigna
| Facility | $175.00 | $519.00 | $519.00 | |
Medical Mutual of Ohio
| Facility | $175.00 | $519.00 | $519.00 |