| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.60 | $672.09 | $1,203.51 | |
Aetna
| Professional | $273.52 | $312.60 | $371.21 | |
Anthem BCBS
| Professional | $38.90 | $45.77 | $286.81 | |
CareSource
| Facility | $332.14 | $507.98 | $9,143.56 | |
CareSource
| Professional | $408.48 | $854.33 | $10,812.59 | |
Cigna
| Facility | $192.39 | $444.48 | $2,262.59 | |
Cigna
| Professional | $448.93 | $448.93 | $561.16 | |
Medical Mutual of Ohio
| Facility | $192.39 | $253.99 | $2,262.59 | |
United
| Professional | $164.12 | $234.45 | $468.90 |