| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.33 | $47.35 | $52.91 | |
Anthem BCBS
| Professional | $25.06 | $27.75 | $72.83 | |
CareSource
| Facility | $63.80 | $76.56 | $95.70 | |
CareSource
| Professional | $70.18 | $82.94 | $153.12 | |
Cigna
| Professional | $26.22 | $26.22 | $26.22 | |
Medical Mutual of Ohio
| Professional | $26.22 | $26.22 | $26.22 | |
United
| Professional | $18.17 | $29.43 | $38.82 |