| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.11 | $2.11 | $14.00 | |
Aetna
| Professional | $0.73 | $2.11 | $2.11 | |
Anthem BCBS
| Professional | $0.70 | $2.81 | $3.89 | |
CareSource
| Facility | $6.21 | $59,499.41 | $61,249.39 | |
Cigna
| Professional | $1.02 | $1.02 | $1.02 | |
Medical Mutual of Ohio
| Professional | $1.02 | $1.02 | $1.02 | |
Molina
| Professional | $40.00 | $50.00 | $50.00 | |
United
| Professional | $2.49 | $2.49 | $3.49 |