| 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 | $42.42 | $44.52 | $53.34 | |
Medical Mutual of Ohio
| Professional | $205.70 | $205.70 | $205.70 |