| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $12.66 | $12.66 | $52,499.48 | |
CareSource
| Professional | $17.09 | $17.09 | $17.09 | |
Cigna
| Professional | $7.86 | $9.25 | $50.56 | |
Medical Mutual of Ohio
| Professional | $11.04 | $11.04 | $11.04 |