| 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 | $3,055.46 | $3,660.78 | $4,407.68 | |
Medical Mutual of Ohio
| Facility | $11,173.91 | $12,978.71 | $61,221.60 | |
Medical Mutual of Ohio
| Professional | $1,002.84 | $1,595.35 | $1,625.39 |