| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.21 | $25.90 | $29.00 | |
Aetna
| Professional | $0.12 | $12.00 | $25.90 | |
Anthem BCBS
| Professional | $40.00 | $46.00 | $73.76 | |
Cigna
| Professional | $0.02 | $0.02 | $0.02 | |
Medical Mutual of Ohio
| Professional | $0.02 | $0.02 | $0.02 |