| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,082.00 | $3,392.00 | $14,996.00 | |
CareSource
| Facility | $828.18 | $38,499.62 | $65,624.34 | |
CareSource
| Professional | $104,998.95 | $104,998.95 | $104,998.95 | |
Cigna
| Professional | $1,892.78 | $2,267.77 | $2,730.45 | |
Medical Mutual of Ohio
| Professional | $820.56 | $820.56 | $894.53 |