| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,938.00 | $4,313.00 | $25,522.00 | |
CareSource
| Facility | $1,021.85 | $38,499.62 | $65,624.34 | |
CareSource
| Professional | $104,998.95 | $104,998.95 | $104,998.95 | |
Cigna
| Professional | $2,522.51 | $3,022.26 | $3,638.88 | |
Medical Mutual of Ohio
| Professional | $1,086.65 | $1,086.65 | $1,193.65 |