| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $5.13 | |
Aetna
| Professional | $3.98 | $3.98 | $3.98 | |
Ambetter
| Professional | $1.82 | $1.82 | $1.82 | |
Anthem BCBS
| Professional | $8.91 | $11.48 | $18.62 | |
Cigna
| Professional | $1.32 | $1.32 | $1.32 | |
Medical Mutual of Ohio
| Professional | $1.32 | $1.32 | $1.32 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 |