| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.48 | $101.95 | $306.92 | |
Aetna
| Professional | $65.48 | $79.59 | $103.16 | |
Anthem BCBS
| Professional | $74.16 | $97.31 | $146.90 | |
CareSource
| Facility | $60.01 | $72.01 | $108.01 | |
Cigna
| Professional | $81.16 | $101.47 | $166.25 | |
Medical Mutual of Ohio
| Professional | $82.95 | $104.01 | $166.25 | |
Molina
| Professional | $80.03 | $114.02 | $119.20 | |
United
| Professional | $85.46 | $114.03 | $181.91 |