| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.33 | $9.33 | $9.33 | |
Aetna
| Professional | $3.98 | $5.01 | $5.01 | |
Anthem BCBS
| Professional | $15.14 | $16.98 | $25.70 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Medical Mutual of Ohio
| Facility | $64.57 | $64.57 | $64.57 | |
Molina
| Professional | $33.11 | $50.12 | $60.26 | |
SummaCare
| Professional | $50.12 | $60.26 | $75.86 |