| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Professional | $2,630.27 | $2,630.27 | $2,630.27 | |
Cigna
| Professional | $2,884.03 | $3,019.95 | $3,630.78 | |
Medical Mutual of Ohio
| Professional | $2,454.71 | $2,454.71 | $2,454.71 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 |