| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $0.04 | $55,999.44 | $59,702.01 | |
CareSource
| Professional | $0.04 | $0.04 | $0.04 | |
Medical Mutual of Ohio
| Facility | $0.32 | $1.64 | $6.95 | |
Medical Mutual of Ohio
| Professional | $0.92 | $0.92 | $0.92 |