| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.82 | $43.38 | $55.89 | |
Anthem BCBS
| Professional | $23.83 | $26.90 | $71.72 | |
CareSource
| Facility | $56.97 | $68.36 | $85.46 | |
CareSource
| Professional | $62.67 | $74.06 | $136.72 | |
Cigna
| Professional | $25.82 | $25.82 | $25.82 | |
Medical Mutual of Ohio
| Professional | $25.82 | $25.82 | $25.82 | |
United
| Professional | $17.89 | $26.83 | $35.78 |