| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.92 | $48.97 | $62.00 | |
Aetna
| Professional | $6.04 | $35.92 | $35.92 | |
Anthem BCBS
| Professional | $6.68 | $6.68 | $6.68 | |
Medical Mutual of Ohio
| Facility | $6.66 | $6.66 | $39.65 |