| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.08 | $566.54 | $928.16 | |
Aetna
| Professional | $210.95 | $241.08 | $247.11 | |
Anthem BCBS
| Professional | $113.21 | $155.22 | $391.15 | |
CareSource
| Facility | $301.35 | $881.45 | $8,666.61 | |
CareSource
| Professional | $315.14 | $723.24 | $8,342.19 | |
Cigna
| Facility | $268.94 | $310.27 | $1,744.94 | |
Cigna
| Professional | $1,696.62 | $1,696.62 | $1,696.62 | |
Medical Mutual of Ohio
| Facility | $268.94 | $310.27 | $1,744.94 | |
United
| Professional | $126.57 | $180.81 | $397.99 |