| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.04 | $2,058.79 | |
Aetna
| Professional | $0.02 | $0.03 | $2,058.79 | |
Anthem BCBS
| Professional | $800.00 | $947.82 | $1,758.12 | |
CareSource
| Facility | $914.00 | $1,142.50 | $1,371.00 | |
CareSource
| Professional | $1,188.20 | $1,233.90 | $2,193.60 | |
Cigna
| Facility | $940.46 | $1,039.68 | $5,216.20 | |
Cigna
| Professional | $418.22 | $534.69 | $1,989.13 | |
Medical Mutual of Ohio
| Facility | $940.46 | $1,039.68 | $5,216.20 | |
Medical Mutual of Ohio
| Professional | $418.22 | $534.69 | $1,989.13 | |
Molina
| Professional | $719.77 | $822.60 | $1,131.07 | |
United
| Professional | $383.88 | $548.40 | $1,331.70 |