| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $7,279.93 | $45,499.55 | $59,702.01 | |
CareSource
| Professional | $70,874.30 | $70,874.30 | $74,999.25 | |
Medical Mutual of Ohio
| Facility | $51.07 | $51.07 | $51.07 | |
United
| Facility | $39.94 | $39.94 | $39.94 |