| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $239.88 | $371.54 | |
Aetna
| Professional | $229.09 | $239.88 | $707.95 | |
Anthem BCBS
| Professional | $2.51 | $5.01 | $5.01 | |
Cigna
| Professional | $54.95 | $54.95 | $54.95 | |
Medical Mutual of Ohio
| Facility | $190.55 | $1,023.29 | $1,023.29 | |
Medical Mutual of Ohio
| Professional | $54.95 | $54.95 | $54.95 |