| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $40,249.60 | $40,249.60 | $40,249.60 | |
Cigna
| Professional | $1,125.76 | $1,189.83 | $1,425.56 | |
Medical Mutual of Ohio
| Professional | $123.04 | $198.42 | $327.29 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |