| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $816.00 | $4,239.00 | $4,966.00 | |
Anthem BCBS
| Professional | $1,971.71 | $1,971.71 | $1,971.71 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Cigna
| Professional | $332.15 | $420.60 | $9,752.99 | |
Medical Mutual of Ohio
| Professional | $3,696.78 | $3,696.78 | $4,464.58 |