| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,971.00 | $5,417.00 | $9,776.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $65,624.34 | |
CareSource
| Professional | $104,998.95 | $104,998.95 | $104,998.95 | |
Medical Mutual of Ohio
| Professional | $2,348.00 | $2,354.85 | $2,354.85 |