| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $588.84 | $676.08 | $794.33 | |
Cigna
| Professional | $1,202.26 | $1,258.93 | $1,513.56 | |
Medical Mutual of Ohio
| Professional | $977.24 | $977.24 | $977.24 | |
Molina
| Professional | $1,148.15 | $1,258.93 | $1,659.59 | |
United
| Professional | $1,174.90 | $1,318.26 | $1,318.26 |