| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.64 | $21.26 | $26.48 | |
Aetna
| Professional | $14.73 | $20.41 | $25.31 | |
Anthem BCBS
| Professional | $6.09 | $9.44 | $24.02 | |
Cigna
| Facility | $20.25 | $20.25 | $20.25 | |
Cigna
| Professional | $15.18 | $15.18 | $15.18 | |
Medical Mutual of Ohio
| Facility | $20.25 | $20.25 | $20.25 | |
Medical Mutual of Ohio
| Professional | $15.18 | $15.18 | $15.18 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Professional | $12.34 | $18.71 | $35.36 |