| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $120.20 | $120.20 | $120.20 | |
CareSource
| Facility | $35,437.15 | $38,499.62 | $52,499.48 | |
Cigna
| Professional | $395.83 | $518.91 | $590.40 | |
Medical Mutual of Ohio
| Professional | $121.17 | $163.00 | $169.16 |