| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.07 | |
CareSource
| Facility | $72,899.27 | $72,899.27 | $72,899.27 | |
Cigna
| Facility | $508.45 | $846.63 | $889.61 | |
Medical Mutual of Ohio
| Facility | $508.45 | $846.63 | $889.61 | |
Molina
| Professional | $30.00 | $60.00 | $60.00 |