| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $516.00 | $2,059.00 | $7,866.00 | |
CareSource
| Facility | $1,616.62 | $2,424.94 | $38,499.62 | |
Cigna
| Professional | $854.38 | $1,023.64 | $1,232.50 | |
Medical Mutual of Ohio
| Professional | $475.09 | $475.16 | $475.16 | |
United
| Professional | $197.05 | $309.64 | $460.22 |