| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.56 | $350.19 | $6,198.34 | |
Aetna
| Professional | $20.56 | $159.31 | $414.21 | |
Anthem BCBS
| Professional | $17.45 | $24.54 | $63.63 | |
Aultcare
| Facility | $25.72 | $25.72 | $25.72 | |
CareSource
| Facility | $20.34 | $29.62 | $29.62 | |
CareSource
| Professional | $51.04 | $325.33 | $325.33 | |
Cigna
| Professional | $19.94 | $92.15 | $459.41 | |
Medical Mutual of Ohio
| Facility | $435.36 | $528.34 | $1,193.50 | |
Medical Mutual of Ohio
| Professional | $20.94 | $63.99 | $473.74 | |
Molina
| Professional | $259.82 | $356.78 | $526.24 | |
United
| Professional | $23.46 | $276.25 | $340.12 |