| 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 | $4,298.18 | $5,149.72 | $6,200.40 | |
Medical Mutual of Ohio
| Professional | $2,134.92 | $2,166.10 | $2,166.10 |