| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.86 | $516.66 | $846.46 | |
Aetna
| Professional | $192.38 | $219.86 | $225.36 | |
Anthem BCBS
| Professional | $103.25 | $141.56 | $356.72 | |
CareSource
| Facility | $274.83 | $803.88 | $7,904.21 | |
CareSource
| Professional | $287.43 | $659.59 | $6,467.09 | |
Cigna
| Facility | $245.27 | $282.97 | $1,591.36 | |
Cigna
| Professional | $1,546.60 | $1,546.60 | $1,546.60 | |
Medical Mutual of Ohio
| Facility | $245.27 | $282.97 | $1,591.36 | |
United
| Professional | $115.43 | $164.90 | $360.03 |