| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $30.32 | $87.85 | |
Ambetter
| Professional | $13.44 | $13.44 | $13.44 | |
Anthem BCBS
| Professional | $8.47 | $12.29 | $21.94 | |
CareSource
| Professional | $13.44 | $13.44 | $18.14 | |
Cigna
| Professional | $10.91 | $13.44 | $17.59 | |
Medical Mutual of Ohio
| Professional | $11.40 | $14.47 | $23.71 | |
United
| Professional | $8.97 | $12.40 | $23.56 |