| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.91 | $68.45 | $204.19 | |
Aetna
| Professional | $41.91 | $54.29 | $73.70 | |
Anthem BCBS
| Professional | $47.57 | $66.58 | $100.03 | |
CareSource
| Facility | $37.70 | $45.23 | $67.84 | |
Cigna
| Professional | $52.77 | $66.63 | $110.77 | |
Medical Mutual of Ohio
| Professional | $52.82 | $67.70 | $110.77 | |
Molina
| Professional | $52.54 | $74.18 | $79.24 | |
United
| Professional | $57.17 | $76.22 | $121.39 |