| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $121,498.80 | $121,498.80 | $148,498.50 | |
Cigna
| Professional | $10,500.00 | $10,500.00 | $10,500.00 | |
Medical Mutual of Ohio
| Facility | $19,165.05 | $19,165.05 | $19,165.05 | |
Medical Mutual of Ohio
| Professional | $10,500.00 | $10,500.00 | $10,500.00 |