| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $711.00 | $2,059.00 | $2,550.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Cigna
| Professional | $164.70 | $164.70 | $179.84 | |
Medical Mutual of Ohio
| Professional | $298.89 | $351.29 | $351.29 |