| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,425.00 | $4,313.00 | $25,522.00 | |
CareSource
| Facility | $1,616.62 | $38,499.62 | $65,624.34 | |
CareSource
| Professional | $104,998.95 | $104,998.95 | $104,998.95 | |
Cigna
| Professional | $2,441.26 | $2,924.90 | $3,521.66 | |
Medical Mutual of Ohio
| Facility | $8,594.70 | $8,594.70 | $8,594.70 | |
Medical Mutual of Ohio
| Professional | $1,242.90 | $1,278.65 | $1,302.28 |