| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,425.00 | $4,408.00 | $5,825.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Cigna
| Professional | $1,354.04 | $1,354.04 | $1,368.02 | |
Medical Mutual of Ohio
| Professional | $1,700.68 | $1,998.97 | $1,998.97 |