| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.80 | $26.31 | $153.85 | |
Aetna
| Professional | $9.17 | $11.97 | $26.40 | |
Anthem BCBS
| Facility | $11.13 | $13.86 | $22.30 | |
Anthem BCBS
| Professional | $6.43 | $8.83 | $13.24 | |
CareSource
| Facility | $9.44 | $13.23 | $17.64 | |
CareSource
| Professional | $8.19 | $12.64 | $20.75 | |
Cigna
| Facility | $8.19 | $12.97 | $43.00 | |
Cigna
| Professional | $5.78 | $11.07 | $20.36 | |
Medical Mutual of Ohio
| Facility | $8.19 | $16.14 | $201.84 | |
Medical Mutual of Ohio
| Professional | $5.78 | $8.75 | $26.00 | |
Molina
| Professional | $10.10 | $11.11 | $16.16 | |
United
| Professional | $3.73 | $6.93 | $15.12 |