| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.63 | $240.63 | $274.81 | |
Aetna
| Professional | $143.85 | $262.73 | $358.08 | |
Anthem BCBS
| Professional | $20.21 | $48.69 | $280.10 | |
CareSource
| Facility | $36.60 | $54.07 | $91.13 | |
CareSource
| Professional | $33.79 | $52.65 | $103.28 | |
Cigna
| Facility | $38.00 | $64.00 | $64.00 | |
Cigna
| Professional | $66.81 | $66.81 | $66.81 | |
Medical Mutual of Ohio
| Facility | $38.00 | $38.00 | $38.00 | |
Medical Mutual of Ohio
| Professional | $66.81 | $66.81 | $66.81 | |
Molina
| Professional | $32.00 | $49.20 | $75.00 | |
United
| Professional | $15.45 | $23.17 | $33.65 |