| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.38 | $36.15 | $45.24 | |
Anthem BCBS
| Professional | $20.38 | $22.33 | $60.28 | |
CareSource
| Facility | $48.42 | $58.10 | $72.63 | |
CareSource
| Professional | $53.26 | $62.95 | $116.21 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
Medical Mutual of Ohio
| Professional | $21.70 | $21.70 | $21.70 | |
United
| Professional | $15.04 | $22.55 | $29.42 |