| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $234.34 | $234.34 | $234.34 | |
CareSource
| Facility | $40,249.60 | $40,249.60 | $40,249.60 | |
Cigna
| Professional | $721.46 | $913.60 | $1,203.19 | |
Medical Mutual of Ohio
| Professional | $306.04 | $319.88 | $319.88 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |