| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $2,344.23 | $3,090.30 | |
Aetna
| Professional | $776.25 | $1,148.15 | $1,412.54 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $524.81 | $524.81 | $524.81 | |
Medical Mutual of Ohio
| Facility | $1,122.02 | $1,513.56 | $2,570.40 | |
Medical Mutual of Ohio
| Professional | $524.81 | $524.81 | $524.81 | |
SummaCare
| Facility | $954.99 | $954.99 | $954.99 | |
United
| Facility | $602.56 | $1,584.89 | $2,238.72 |