| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,425.00 | $4,408.00 | $5,825.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 | |
Medical Mutual of Ohio
| Professional | $1,369.78 | $1,369.78 | $1,462.53 |