| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $20.14 | $32.18 | $50.38 | |
CareSource
| Facility | $35,437.15 | $55,999.44 | $92,609.07 | |
CareSource
| Professional | $47.45 | $47.45 | $47.45 | |
Cigna
| Professional | $22.13 | $22.14 | $26.53 | |
Medical Mutual of Ohio
| Facility | $110.94 | $110.94 | $110.94 | |
Medical Mutual of Ohio
| Professional | $2.02 | $5.39 | $196.20 |