| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.99 | $84.01 | $178.60 | |
Aetna
| Professional | $30.40 | $46.21 | $74.18 | |
Ambetter
| Professional | $58.22 | $58.22 | $58.22 | |
Anthem BCBS
| Professional | $28.95 | $43.06 | $74.23 | |
CareSource
| Facility | $35.04 | $45.81 | $60.75 | |
CareSource
| Professional | $46.72 | $62.81 | $95.88 | |
Cigna
| Professional | $29.82 | $52.40 | $78.94 | |
Medical Mutual of Ohio
| Facility | $87.04 | $87.04 | $87.04 | |
Medical Mutual of Ohio
| Professional | $29.82 | $53.74 | $78.94 | |
Molina
| Professional | $51.60 | $68.87 | $101.99 | |
United
| Professional | $35.56 | $49.82 | $81.34 |