| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.62 | $43.26 | $52.62 | |
Anthem BCBS
| Professional | $23.85 | $26.84 | $69.25 | |
CareSource
| Facility | $56.81 | $68.17 | $85.22 | |
CareSource
| Professional | $62.49 | $73.84 | $136.34 | |
Cigna
| Professional | $24.93 | $24.93 | $24.93 | |
Medical Mutual of Ohio
| Professional | $24.93 | $24.93 | $24.93 | |
United
| Professional | $17.28 | $25.91 | $34.17 |