| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $18.67 | $46.00 | |
Anthem BCBS
| Professional | $13.18 | $16.86 | $32.21 | |
Aultcare
| Professional | $22.53 | $22.53 | $22.53 | |
CareSource
| Professional | $28.16 | $33.82 | $63.45 | |
Cigna
| Professional | $22.82 | $39.42 | $108.10 | |
Medical Mutual of Ohio
| Professional | $22.82 | $34.69 | $48.29 | |
Molina
| Professional | $23.92 | $32.71 | $48.62 | |
United
| Professional | $18.10 | $25.46 | $33.69 |