| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $193.93 | $193.93 | $193.93 | |
CareSource
| Facility | $40,249.60 | $40,249.60 | $40,249.60 | |
Cigna
| Professional | $613.91 | $777.42 | $991.17 | |
Medical Mutual of Ohio
| Professional | $254.87 | $254.87 | $264.56 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |