| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.37 | $282.87 | $758.58 | |
Aetna
| Professional | $34.53 | $80.37 | $137.83 | |
Anthem BCBS
| Facility | $937.00 | $1,927.00 | $3,943.00 | |
Anthem BCBS
| Professional | $20.89 | $26.51 | $45.32 | |
CareSource
| Facility | $75.30 | $77.86 | $12,684.39 | |
Cigna
| Professional | $41.25 | $74.80 | $120.88 | |
Medical Mutual of Ohio
| Facility | $119.27 | $288.77 | $771.94 | |
Medical Mutual of Ohio
| Professional | $49.61 | $76.33 | $143.69 | |
United
| Professional | $26.87 | $72.09 | $103.82 |