| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,059.71 | $4,840.34 | $7,929.92 | |
Aetna
| Professional | $1,802.26 | $2,059.71 | $2,111.21 | |
Anthem BCBS
| Professional | $33.20 | $40.50 | $3,347.04 | |
CareSource
| Facility | $2,574.65 | $7,530.85 | $60,246.82 | |
CareSource
| Professional | $2,691.61 | $6,179.16 | $60,561.24 | |
Cigna
| Facility | $2,928.66 | $5,422.20 | $17,357.91 | |
Medical Mutual of Ohio
| Facility | $2,928.66 | $5,422.20 | $17,357.91 | |
United
| Professional | $1,081.34 | $1,544.79 | $3,400.34 |