| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $61.66 | $204.17 | |
Aetna
| Professional | $40.74 | $52.48 | $69.18 | |
Anthem BCBS
| Professional | $47.86 | $66.07 | $104.71 | |
CareSource
| Facility | $38.02 | $38.02 | $43.65 | |
Cigna
| Professional | $52.48 | $70.79 | $109.65 | |
Medical Mutual of Ohio
| Professional | $52.48 | $70.79 | $114.82 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
SummaCare
| Professional | $48.98 | $70.79 | $134.90 | |
United
| Professional | $48.98 | $70.79 | $109.65 |