| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $87.87 | $87.87 | $87.87 | |
CareSource
| Facility | $35,437.15 | $52,499.48 | $52,499.48 | |
Cigna
| Professional | $285.94 | $375.56 | $427.30 | |
Medical Mutual of Ohio
| Professional | $119.64 | $153.00 | $153.00 |