| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.02 | $0.07 | $0.07 | |
CareSource
| Facility | $77.91 | $45,499.55 | $87,749.12 | |
Cigna
| Facility | $105.59 | $105.59 | $105.59 | |
Medical Mutual of Ohio
| Facility | $105.59 | $105.59 | $105.59 |