| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,069.00 | $2,924.00 | $4,470.00 | |
CareSource
| Facility | $7,279.93 | $41,999.58 | $68,249.33 | |
CareSource
| Professional | $57,749.43 | $70,874.30 | $74,999.25 | |
Medical Mutual of Ohio
| Professional | $340.89 | $340.89 | $340.89 |