| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $717.57 | $717.57 | $1,299.00 | |
Aetna
| Professional | $717.57 | $751.56 | $751.56 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $9.61 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 | |
Medical Mutual of Ohio
| Professional | $477.77 | $477.77 | $477.77 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |