| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,221.63 | $3,547.94 | $5,554.08 | |
Medical Mutual of Ohio
| Facility | $14,544.27 | $14,544.27 | $14,544.27 | |
Medical Mutual of Ohio
| Professional | $2,632.88 | $2,632.88 | $2,632.88 |