| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,294.00 | $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 | $2,999.29 | $3,593.49 | $4,326.67 | |
Medical Mutual of Ohio
| Professional | $1,474.87 | $1,500.21 | $1,500.21 |