| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $100.00 | $100.00 | $100.00 | |
CareSource
| Facility | $40,249.60 | $40,249.60 | $40,249.60 | |
Cigna
| Professional | $334.87 | $407.01 | $515.41 | |
Medical Mutual of Ohio
| Professional | $141.19 | $147.68 | $147.68 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |