| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $40,249.60 | $40,249.60 | $40,249.60 | |
Cigna
| Professional | $1,705.65 | $1,802.74 | $2,159.89 | |
Medical Mutual of Ohio
| Professional | $250.86 | $378.61 | $635.77 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |