| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $711.00 | $1,485.00 | $2,550.00 | |
CareSource
| Facility | $34,499.66 | $38,499.62 | $65,624.34 | |
CareSource
| Professional | $104,998.95 | $104,998.95 | $127,498.73 | |
Medical Mutual of Ohio
| Professional | $237.94 | $264.77 | $264.77 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |