| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.68 | $63.24 | $75.00 | |
Anthem BCBS
| Professional | $33.84 | $39.81 | $100.11 | |
CareSource
| Facility | $92.70 | $111.24 | $139.05 | |
CareSource
| Professional | $94.86 | $120.51 | $222.48 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
Medical Mutual of Ohio
| Professional | $33.45 | $33.45 | $33.45 | |
United
| Professional | $23.18 | $41.80 | $55.76 |