| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,760.00 | $3,576.00 | $14,996.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Cigna
| Professional | $554.45 | $607.59 | $607.59 | |
Medical Mutual of Ohio
| Professional | $716.58 | $821.21 | $821.21 |