| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $3.89 | $55,999.44 | $59,702.01 | |
CareSource
| Professional | $3.89 | $3.89 | $3.89 | |
Medical Mutual of Ohio
| Facility | $4.49 | $11.23 | $37.11 | |
Medical Mutual of Ohio
| Professional | $2.02 | $2.02 | $2.02 |