| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $19.05 | $19.05 | $19.95 | |
Anthem BCBS
| Professional | $16.98 | $23.99 | $41.69 | |
Medical Mutual of Ohio
| Facility | $85.11 | $85.11 | $85.11 | |
Medical Mutual of Ohio
| Professional | $30.20 | $30.20 | $30.20 |