| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.20 | $39.17 | $98.91 | |
Aetna
| Professional | $15.94 | $25.92 | $41.92 | |
Anthem BCBS
| Professional | $14.63 | $24.78 | $46.89 | |
CareSource
| Facility | $16.68 | $18.60 | $24.77 | |
CareSource
| Professional | $27.73 | $39.74 | $50.58 | |
Cigna
| Facility | $28.51 | $28.51 | $28.51 | |
Cigna
| Professional | $18.35 | $35.89 | $68.06 | |
Medical Mutual of Ohio
| Facility | $28.51 | $28.51 | $28.51 | |
Medical Mutual of Ohio
| Professional | $18.89 | $35.46 | $61.45 | |
Molina
| Professional | $25.98 | $34.27 | $49.42 | |
United
| Professional | $27.79 | $43.51 | $73.20 |