| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,622.00 | $3,405.00 | $14,996.00 | |
CareSource
| Facility | $1,599.77 | $2,399.66 | $38,499.62 | |
Cigna
| Professional | $1,609.58 | $1,928.46 | $2,321.92 | |
Medical Mutual of Ohio
| Professional | $701.27 | $701.27 | $711.75 |