| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $39.39 | $39.39 | $39.39 | |
CareSource
| Facility | $35,437.15 | $52,499.48 | $52,499.48 | |
Cigna
| Professional | $119.39 | $151.93 | $195.71 | |
Medical Mutual of Ohio
| Professional | $50.40 | $52.50 | $52.50 |