| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.57 | $774.77 | $1,411.09 | |
Aetna
| Professional | $314.18 | $348.57 | $433.26 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $9.61 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Medical Mutual of Ohio
| Facility | $317.72 | $494.48 | $691.57 | |
Medical Mutual of Ohio
| Professional | $52.02 | $52.02 | $52.02 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |