| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $42.42 | $42.42 | $42.42 | |
CareSource
| Facility | $37,499.62 | $47,249.53 | $52,499.48 | |
Cigna
| Professional | $98.01 | $124.30 | $207.13 | |
Medical Mutual of Ohio
| Professional | $45.34 | $46.50 | $46.50 |