| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $337.39 | $906.42 | $1,484.98 | |
Aetna
| Professional | $140.97 | $145.12 | $482.14 | |
Anthem BCBS
| Professional | $93.44 | $127.51 | $625.80 | |
CareSource
| Facility | $482.14 | $1,410.26 | $13,864.56 | |
CareSource
| Professional | $504.17 | $1,157.14 | $11,343.72 | |
Cigna
| Facility | $430.28 | $496.41 | $1,685.79 | |
Cigna
| Professional | $2,713.40 | $2,713.40 | $2,713.40 | |
Medical Mutual of Ohio
| Facility | $430.28 | $496.41 | $2,751.56 | |
United
| Professional | $87.07 | $124.39 | $518.28 |