| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $52.48 | $61.66 | |
Aetna
| Professional | $38.90 | $48.98 | $61.66 | |
Ambetter
| Professional | $44.67 | $60.26 | $100.00 | |
Anthem BCBS
| Professional | $42.66 | $58.88 | $91.20 | |
CareSource
| Facility | $32.36 | $47.86 | $57.54 | |
Cigna
| Professional | $47.86 | $64.57 | $97.72 | |
Medical Mutual of Ohio
| Professional | $47.86 | $66.07 | $107.15 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
SummaCare
| Professional | $45.71 | $61.66 | $117.49 | |
United
| Professional | $46.77 | $66.07 | $100.00 |