| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,340.00 | $7,084.00 | $36,529.00 | |
CareSource
| Facility | $1,616.62 | $38,499.62 | $65,624.34 | |
CareSource
| Professional | $104,998.95 | $104,998.95 | $104,998.95 | |
Cigna
| Professional | $3,387.65 | $4,058.79 | $4,886.89 | |
Medical Mutual of Ohio
| Professional | $1,768.46 | $1,799.07 | $1,799.07 |