| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.02 | $0.02 | $2.51 | |
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Medical Mutual of Ohio
| Facility | $51.29 | $53.70 | $56.23 | |
Medical Mutual of Ohio
| Professional | $70.79 | $70.79 | $70.79 | |
Molina
| Professional | $30.20 | $33.11 | $60.26 | |
SummaCare
| Professional | $50.12 | $60.26 | $75.86 |