| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $24.96 | $29.95 | $37.44 | |
CareSource
| Professional | $26.21 | $27.46 | $34.95 | |
Cigna
| Professional | $37.47 | $89.20 | $106.87 | |
Medical Mutual of Ohio
| Professional | $35.26 | $36.49 | $36.49 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |