| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $35.48 | $40.74 | $46.77 | |
Cigna
| Professional | $60.26 | $63.10 | $75.86 | |
Medical Mutual of Ohio
| Professional | $56.23 | $56.23 | $60.26 | |
Molina
| Professional | $245.47 | $269.15 | $354.81 | |
United
| Professional | $251.19 | $275.42 | $309.03 |