| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $40,249.60 | $40,249.60 | $40,249.60 | |
Cigna
| Professional | $24.27 | $65.34 | $82.74 | |
Medical Mutual of Ohio
| Professional | $28.47 | $29.08 | $29.08 | |
United
| Professional | $15.10 | $22.85 | $36.29 |