| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $15.92 | $55,999.44 | $59,702.01 | |
CareSource
| Professional | $15.92 | $15.92 | $15.92 | |
Medical Mutual of Ohio
| Facility | $13.29 | $34.79 | $250.67 | |
Medical Mutual of Ohio
| Professional | $8.71 | $8.71 | $23.25 |