| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $654.00 | $2,492.00 | $3,576.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Cigna
| Professional | $5,457.28 | $6,538.44 | $7,872.46 | |
Medical Mutual of Ohio
| Professional | $2,126.11 | $2,126.11 | $2,622.27 |