| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.88 | $63.10 | |
Aetna
| Professional | $30.90 | $33.88 | $38.90 | |
Anthem BCBS
| Professional | $22.91 | $26.92 | $41.69 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Medical Mutual of Ohio
| Professional | $2.04 | $2.04 | $2.04 | |
SummaCare
| Professional | $50.12 | $60.26 | $75.86 |