| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $12.02 | $363.08 | |
Aetna
| Professional | $6.46 | $12.02 | $33.11 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $1.00 | |
Cigna
| Professional | $8.51 | $8.51 | $8.51 | |
Medical Mutual of Ohio
| Facility | $75.86 | $75.86 | $75.86 | |
Medical Mutual of Ohio
| Professional | $8.51 | $8.51 | $8.51 | |
Molina
| Professional | $30.20 | $50.12 | $60.26 | |
SummaCare
| Professional | $50.12 | $60.26 | $75.86 |