| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $6,824.93 | $41,999.58 | $68,249.33 | |
CareSource
| Professional | $52,499.48 | $65,624.34 | $74,999.25 | |
Cigna
| Professional | $1,025.28 | $1,076.03 | $1,289.21 | |
Medical Mutual of Ohio
| Facility | $4,815.14 | $4,815.14 | $4,815.14 |