| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.71 | $34.20 | $307.22 | |
Aetna
| Professional | $10.80 | $13.71 | $17.14 | |
Anthem BCBS
| Facility | $15.13 | $18.85 | $30.33 | |
Anthem BCBS
| Professional | $7.18 | $7.18 | $17.48 | |
CareSource
| Facility | $12.86 | $18.00 | $24.00 | |
CareSource
| Professional | $11.14 | $17.18 | $28.23 | |
Cigna
| Facility | $11.14 | $17.64 | $58.49 | |
Cigna
| Professional | $7.76 | $11.67 | $27.15 | |
Medical Mutual of Ohio
| Facility | $11.14 | $21.97 | $191.22 | |
Medical Mutual of Ohio
| Professional | $7.76 | $9.22 | $18.41 | |
Molina
| Professional | $13.47 | $14.81 | $21.55 | |
United
| Professional | $4.98 | $8.57 | $27.65 |