| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $9.27 | $55,999.44 | $59,702.01 | |
CareSource
| Professional | $9.27 | $9.27 | $9.27 | |
Medical Mutual of Ohio
| Facility | $11.04 | $33.99 | $60.28 | |
Medical Mutual of Ohio
| Professional | $4.63 | $4.63 | $23.33 |