| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aultcare
| Facility | $2.61 | $2.61 | $2.61 | |
CareSource
| Facility | $4.71 | $4.71 | $6.47 | |
CareSource
| Professional | $4.71 | $4.71 | $11.30 | |
Medical Mutual of Ohio
| Facility | $6.39 | $24.19 | $32.29 | |
Medical Mutual of Ohio
| Professional | $3.45 | $3.45 | $3.45 | |
Molina
| Professional | $2.14 | $2.43 | $2.82 |