| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.17 | $59.95 | $199.15 | |
Aetna
| Professional | $31.17 | $35.22 | $47.61 | |
Anthem BCBS
| Professional | $34.65 | $42.99 | $65.78 | |
CareSource
| Facility | $27.97 | $33.56 | $50.34 | |
Cigna
| Professional | $37.24 | $44.75 | $68.76 | |
Medical Mutual of Ohio
| Professional | $37.27 | $46.45 | $67.28 | |
Molina
| Professional | $27.49 | $32.34 | $39.96 | |
United
| Professional | $35.15 | $47.83 | $78.62 |