| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.01 | $36.42 | $442.59 | |
Aetna
| Professional | $60.00 | $112.50 | $187.50 | |
Anthem BCBS
| Professional | $0.02 | $0.07 | $250.00 | |
Medical Mutual of Ohio
| Facility | $2.50 | $19.89 | $65.61 | |
Medical Mutual of Ohio
| Professional | $59.50 | $59.50 | $59.50 | |
Molina
| Professional | $40.00 | $50.00 | $50.00 |