| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $7.25 | $55,999.44 | $59,702.01 | |
CareSource
| Professional | $7.25 | $7.25 | $7.25 | |
Medical Mutual of Ohio
| Professional | $2.52 | $2.52 | $2.52 | |
United
| Professional | $4.22 | $7.04 | $7.04 |