| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $128.94 | $383.88 | $951.19 | |
Anthem BCBS
| Facility | $509.00 | $813.00 | $1,578.00 | |
Cigna
| Facility | $475.00 | $919.00 | $1,363.00 | |
Medical Mutual of Ohio
| Facility | $475.00 | $892.00 | $1,363.00 |