| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.11 | $36.53 | $44.92 | |
Aetna
| Professional | $18.36 | $26.51 | $43.54 | |
Ambetter
| Professional | $36.25 | $36.25 | $36.25 | |
Anthem BCBS
| Professional | $23.13 | $36.70 | $58.78 | |
Cigna
| Facility | $26.71 | $26.71 | $26.71 | |
Cigna
| Professional | $34.52 | $34.52 | $34.52 | |
Medical Mutual of Ohio
| Facility | $26.71 | $26.71 | $26.71 | |
Medical Mutual of Ohio
| Professional | $34.52 | $34.52 | $34.52 | |
Molina
| Professional | $25.04 | $35.08 | $50.20 | |
United
| Professional | $30.50 | $43.27 | $65.73 |