| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $117.17 | $117.17 | $117.17 | |
CareSource
| Facility | $35,437.15 | $52,499.48 | $52,499.48 | |
Cigna
| Professional | $315.81 | $400.53 | $577.35 | |
Medical Mutual of Ohio
| Professional | $144.47 | $150.50 | $150.50 |