| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $103.03 | $103.03 | $103.03 | |
CareSource
| Facility | $40,249.60 | $40,249.60 | $40,249.60 | |
Cigna
| Professional | $348.48 | $420.63 | $532.65 | |
Medical Mutual of Ohio
| Professional | $143.12 | $143.12 | $149.08 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |