| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $891.00 | $2,191.00 | $5,211.00 | |
Cigna
| Professional | $803.99 | $803.99 | $803.99 | |
Medical Mutual of Ohio
| Professional | $1,186.27 | $1,186.27 | $1,186.27 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |