| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $660.69 | $660.69 | $660.69 | |
Anthem BCBS
| Professional | $831.76 | $831.76 | $831.76 | |
Cigna
| Professional | $691.83 | $870.96 | $3,890.45 | |
Medical Mutual of Ohio
| Professional | $1,202.26 | $1,202.26 | $1,202.26 |