| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $758.58 | $1,445.44 | |
Aetna
| Professional | $316.23 | $316.23 | $446.68 | |
Anthem BCBS
| Professional | $3.98 | $3.98 | $3.98 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
Medical Mutual of Ohio
| Facility | $323.59 | $501.19 | $707.95 | |
Medical Mutual of Ohio
| Professional | $52.48 | $52.48 | $52.48 | |
SummaCare
| Facility | $426.58 | $426.58 | $426.58 | |
United
| Facility | $269.15 | $691.83 | $1,000.00 |