| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.75 | $97.65 | $908.04 | |
CareSource
| Facility | $30.17 | $34.33 | $44.82 | |
Cigna
| Facility | $36.29 | $36.29 | $36.29 | |
Medical Mutual of Ohio
| Facility | $36.07 | $36.29 | $134.22 |