| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.33 | $1,043.15 | $1,841.57 | |
Aetna
| Professional | $358.74 | $478.33 | $573.99 | |
Anthem BCBS
| Facility | $527.95 | $657.70 | $1,058.11 | |
Anthem BCBS
| Professional | $239.16 | $254.94 | $800.00 | |
CareSource
| Facility | $454.21 | $627.80 | $896.87 | |
CareSource
| Professional | $508.22 | $777.28 | $1,434.98 | |
Cigna
| Facility | $388.64 | $615.61 | $2,040.36 | |
Cigna
| Professional | $273.58 | $388.64 | $1,158.55 | |
Medical Mutual of Ohio
| Facility | $388.64 | $615.61 | $2,313.08 | |
Medical Mutual of Ohio
| Professional | $273.58 | $388.64 | $1,158.55 | |
Molina
| Professional | $448.43 | $515.69 | $717.48 | |
United
| Professional | $251.12 | $358.75 | $789.66 |