| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $772.00 | $3,111.00 | $4,470.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Cigna
| Professional | $441.37 | $441.37 | $532.99 | |
Medical Mutual of Ohio
| Professional | $791.20 | $1,010.62 | $1,010.62 |