| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $41,686.94 | $41,686.94 | $63,095.73 | |
CareSource
| Professional | $75,857.76 | $75,857.76 | $75,857.76 | |
Cigna
| Professional | $165.96 | $165.96 | $181.97 | |
Medical Mutual of Ohio
| Facility | $245.47 | $245.47 | $245.47 | |
SummaCare
| Professional | $186.21 | $186.21 | $186.21 | |
United
| Professional | $66.07 | $93.33 | $144.54 |