| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.93 | $94.37 | $636.38 | |
Aetna
| Professional | $35.19 | $39.01 | $65.05 | |
Ambetter
| Professional | $27.67 | $32.56 | $49.01 | |
Anthem BCBS
| Professional | $32.59 | $43.48 | $70.83 | |
CareSource
| Facility | $35.01 | $39.76 | $51.99 | |
CareSource
| Professional | $39.15 | $39.15 | $49.84 | |
Cigna
| Facility | $60.29 | $60.29 | $60.29 | |
Cigna
| Professional | $36.09 | $53.66 | $107.07 | |
Medical Mutual of Ohio
| Facility | $60.29 | $85.37 | $132.54 | |
Medical Mutual of Ohio
| Professional | $35.61 | $52.43 | $83.21 | |
Molina
| Professional | $29.25 | $36.60 | $49.90 | |
United
| Professional | $35.60 | $52.76 | $88.21 |