| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $1,069.50 | $1,283.40 | $38,499.62 | |
CareSource
| Professional | $1,336.87 | $1,336.87 | $1,390.35 | |
Cigna
| Professional | $3,106.84 | $3,722.34 | $4,481.80 | |
Medical Mutual of Ohio
| Professional | $1,523.28 | $1,591.96 | $1,591.96 |