| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,899.00 | $5,264.00 | $7,184.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Medical Mutual of Ohio
| Professional | $2,255.23 | $2,255.23 | $2,324.33 |