| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.92 | $419.20 | $610.54 | |
Aetna
| Professional | $506.85 | $610.54 | $610.54 | |
Anthem BCBS
| Facility | $19,671.00 | $20,132.00 | $31,549.00 | |
Anthem BCBS
| Professional | $142.94 | $185.55 | $287.94 | |
Medical Mutual of Ohio
| Facility | $5,090.52 | $5,090.52 | $5,090.52 |