| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,121.00 | $2,786.00 | $3,264.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Cigna
| Professional | $574.95 | $574.95 | $574.95 | |
Medical Mutual of Ohio
| Professional | $714.38 | $714.38 | $873.27 |