| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.25 | $628.50 | $1,043.01 | |
Aetna
| Professional | $52.73 | $309.50 | $309.50 | |
Anthem BCBS
| Facility | $358.00 | $358.00 | $488.00 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 | |
Medical Mutual of Ohio
| Facility | $27.26 | $358.01 | $560.64 | |
Medical Mutual of Ohio
| Professional | $348.00 | $348.00 | $348.00 |