| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $126.26 | $126.26 | $126.26 | |
CareSource
| Facility | $132.83 | $146.11 | $52,499.48 | |
CareSource
| Professional | $146.11 | $166.03 | $179.32 | |
Cigna
| Professional | $306.23 | $458.29 | $618.12 | |
Medical Mutual of Ohio
| Professional | $44.28 | $120.02 | $163.19 |