| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $724.44 | $724.44 | |
Aetna
| Professional | $346.74 | $346.74 | $346.74 | |
Anthem BCBS
| Professional | $512.86 | $602.56 | $602.56 | |
Cigna
| Professional | $6.92 | $6.92 | $6.92 | |
Medical Mutual of Ohio
| Facility | $64.57 | $89.13 | $91.20 | |
Medical Mutual of Ohio
| Professional | $6.92 | $6.92 | $6.92 |