| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.02 | $0.03 | $191.25 | |
CareSource
| Facility | $121,498.80 | $148,498.50 | $148,498.50 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $6.35 | $6.35 | $6.35 | |
Medical Mutual of Ohio
| Professional | $6.35 | $18.55 | $18.55 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |