| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.14 | $56.78 | $577.54 | |
Aetna
| Professional | $17.53 | $21.53 | $60.25 | |
Ambetter
| Professional | $20.72 | $24.26 | $26.45 | |
Anthem BCBS
| Professional | $18.47 | $33.08 | $66.20 | |
CareSource
| Facility | $17.32 | $20.59 | $25.74 | |
CareSource
| Professional | $19.39 | $22.04 | $24.68 | |
Cigna
| Facility | $29.80 | $29.80 | $29.80 | |
Cigna
| Professional | $17.57 | $27.42 | $85.75 | |
Medical Mutual of Ohio
| Facility | $29.80 | $29.80 | $368.59 | |
Medical Mutual of Ohio
| Professional | $17.63 | $26.68 | $77.63 | |
Molina
| Professional | $16.34 | $19.22 | $20.41 | |
United
| Facility | $258.76 | $258.76 | $302.13 | |
United
| Professional | $18.11 | $34.21 | $71.53 |