| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,230.00 | $5,544.00 | $7,184.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Medical Mutual of Ohio
| Professional | $3,015.49 | $3,015.49 | $3,240.60 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |