| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $455.02 | $1,821.45 | $2,761.56 | |
Anthem BCBS
| Professional | $398.91 | $1,625.94 | $3,574.78 | |
CareSource
| Professional | $1,519.56 | $1,840.23 | $2,091.17 | |
Cigna
| Professional | $449.65 | $1,164.28 | $3,747.39 | |
Medical Mutual of Ohio
| Professional | $467.02 | $950.42 | $3,505.12 | |
Molina
| Professional | $1,553.99 | $2,034.51 | $2,817.39 | |
United
| Professional | $2,067.02 | $2,955.84 | $5,032.01 |