| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $7.75 | $55,999.44 | $59,702.01 | |
CareSource
| Professional | $7.75 | $7.75 | $7.75 | |
Medical Mutual of Ohio
| Facility | $21.73 | $36.02 | $111.14 | |
Medical Mutual of Ohio
| Professional | $3.49 | $3.49 | $21.99 |