| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,777.00 | $7,086.00 | $30,285.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Medical Mutual of Ohio
| Professional | $2,219.83 | $2,379.75 | $2,379.75 |