| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,575.00 | $1,575.00 | $1,575.00 | |
Cigna
| Professional | $13,229.16 | $15,850.03 | $19,083.87 | |
Medical Mutual of Ohio
| Professional | $6,806.67 | $7,951.96 | $7,951.96 |