| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aultcare
| Facility | $0.98 | $0.98 | $0.98 | |
CareSource
| Facility | $0.28 | $0.28 | $0.41 | |
CareSource
| Professional | $0.28 | $0.28 | $0.70 | |
Medical Mutual of Ohio
| Facility | $1.96 | $3.28 | $15.16 | |
Medical Mutual of Ohio
| Professional | $0.04 | $0.04 | $0.04 | |
Molina
| Professional | $0.80 | $0.91 | $1.05 | |
United
| Facility | $0.89 | $0.89 | $0.89 |