| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.40 | $448.06 | $802.34 | |
Aetna
| Professional | $182.35 | $208.40 | $213.61 | |
Anthem BCBS
| Professional | $57.05 | $69.59 | $338.65 | |
CareSource
| Facility | $260.50 | $761.96 | $7,485.47 | |
CareSource
| Professional | $272.20 | $625.20 | $6,124.47 | |
Cigna
| Facility | $296.33 | $548.63 | $1,756.31 | |
Medical Mutual of Ohio
| Facility | $296.33 | $548.63 | $1,756.31 | |
United
| Professional | $109.41 | $156.30 | $344.04 |