| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.92 | $1,099.60 | $1,801.49 | |
Aetna
| Professional | $409.43 | $467.92 | $479.62 | |
Anthem BCBS
| Professional | $245.51 | $352.38 | $800.00 | |
CareSource
| Facility | $584.90 | $1,710.83 | $16,812.56 | |
CareSource
| Professional | $611.37 | $1,403.76 | $13,755.72 | |
Cigna
| Facility | $522.00 | $602.22 | $3,386.81 | |
Cigna
| Professional | $3,291.96 | $3,291.96 | $3,291.96 | |
Medical Mutual of Ohio
| Facility | $522.00 | $602.22 | $3,386.81 | |
United
| Facility | $584.90 | $584.90 | $584.90 | |
United
| Professional | $245.66 | $350.94 | $772.48 |