| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $35,437.15 | $59,702.01 | $59,702.01 | |
Cigna
| Professional | $1,646.18 | $1,794.32 | $2,149.79 | |
Medical Mutual of Ohio
| Professional | $1,410.81 | $1,410.81 | $1,410.81 |