| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.29 | $152.28 | $1,502.03 | |
Aetna
| Professional | $118.61 | $152.28 | $152.28 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Cigna
| Professional | $14.23 | $14.23 | $14.23 | |
Medical Mutual of Ohio
| Facility | $41.47 | $78.97 | $1,077.25 | |
Medical Mutual of Ohio
| Professional | $14.23 | $14.23 | $14.23 |