| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.00 | $65.91 | $3,606.12 | |
Aetna
| Professional | $16.29 | $65.91 | $65.91 | |
Anthem BCBS
| Professional | $1.93 | $1.93 | $35.00 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 | |
Medical Mutual of Ohio
| Facility | $42.25 | $42.25 | $42.25 | |
Medical Mutual of Ohio
| Professional | $36.96 | $36.96 | $36.96 |