| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,712.00 | $3,528.00 | $14,996.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Cigna
| Professional | $1,443.97 | $1,443.97 | $1,443.97 | |
Medical Mutual of Ohio
| Professional | $2,056.71 | $2,354.19 | $2,354.19 | |
United
| Facility | $7,872.00 | $18,211.00 | $18,211.00 |