| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.25 | $153.36 | $603.48 | |
Aetna
| Professional | $44.58 | $48.63 | $77.06 | |
Ambetter
| Professional | $56.06 | $65.17 | $65.17 | |
Anthem BCBS
| Professional | $41.03 | $55.42 | $89.47 | |
CareSource
| Facility | $45.66 | $51.67 | $67.81 | |
CareSource
| Professional | $51.21 | $51.21 | $65.17 | |
Cigna
| Facility | $78.48 | $78.48 | $78.48 | |
Cigna
| Professional | $45.66 | $67.73 | $135.94 | |
Medical Mutual of Ohio
| Facility | $78.48 | $78.48 | $291.45 | |
Medical Mutual of Ohio
| Professional | $45.66 | $67.39 | $109.85 | |
Molina
| Professional | $29.25 | $38.81 | $49.90 | |
United
| Professional | $44.79 | $65.62 | $109.10 |