| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,787.50 | $4,759.30 | $16,038.84 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
Anthem BCBS
| Facility | $699.51 | $1,938.00 | $6,890.00 | |
CareSource
| Facility | $121,498.80 | $121,498.80 | $148,498.50 | |
Medical Mutual of Ohio
| Facility | $3,181.90 | $3,181.90 | $5,492.40 |