| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $891.00 | $4,408.00 | $5,211.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Cigna
| Professional | $644.60 | $644.60 | $862.79 | |
Medical Mutual of Ohio
| Professional | $1,293.68 | $1,323.90 | $1,323.90 |