| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.60 | $80.84 | $144.76 | |
Aetna
| Professional | $32.90 | $37.60 | $38.54 | |
Anthem BCBS
| Professional | $46.58 | $58.32 | $112.91 | |
CareSource
| Facility | $47.00 | $137.47 | $1,348.41 | |
CareSource
| Professional | $49.03 | $112.80 | $1,103.24 | |
Cigna
| Facility | $41.95 | $48.39 | $268.23 | |
Cigna
| Professional | $264.91 | $264.91 | $264.91 | |
Medical Mutual of Ohio
| Facility | $41.95 | $48.39 | $316.87 | |
United
| Professional | $19.73 | $28.20 | $62.07 |