| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.38 | $126.00 | $1,066.71 | |
Aetna
| Professional | $116.00 | $116.00 | $123.25 | |
Anthem BCBS
| Professional | $45.00 | $45.00 | $137.75 | |
CareSource
| Facility | $108.49 | $108.49 | $132.59 | |
Cigna
| Professional | $80.54 | $80.54 | $80.54 | |
Medical Mutual of Ohio
| Facility | $53.94 | $123.25 | $815.11 |