| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $4.38 | $6.85 | $8.33 | |
CareSource
| Professional | $3.87 | $5.05 | $5.95 | |
Cigna
| Professional | $4.88 | $4.88 | $6.09 | |
Medical Mutual of Ohio
| Professional | $3.35 | $4.79 | $8.39 |