| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.85 | $34.86 | $41.69 | |
Anthem BCBS
| Professional | $18.82 | $20.45 | $54.42 | |
Aultcare
| Professional | $46.97 | $46.97 | $46.97 | |
CareSource
| Facility | $46.97 | $56.36 | $70.45 | |
CareSource
| Professional | $51.67 | $61.06 | $112.73 | |
Cigna
| Professional | $19.59 | $19.59 | $19.59 | |
Medical Mutual of Ohio
| Professional | $19.59 | $19.59 | $19.59 | |
United
| Professional | $13.58 | $21.67 | $28.25 |