| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.34 | $39.79 | $53.00 | |
Anthem BCBS
| Professional | $22.50 | $24.47 | $66.06 | |
CareSource
| Facility | $53.62 | $64.34 | $80.43 | |
CareSource
| Professional | $58.98 | $69.70 | $128.69 | |
Cigna
| Professional | $23.78 | $23.78 | $23.78 | |
Medical Mutual of Ohio
| Professional | $23.78 | $23.78 | $23.78 | |
United
| Professional | $16.48 | $25.18 | $32.35 |