| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.53 | $54.78 | $62.83 | |
Anthem BCBS
| Professional | $29.12 | $33.45 | $83.87 | |
CareSource
| Facility | $77.66 | $93.19 | $116.49 | |
CareSource
| Professional | $85.43 | $100.96 | $186.38 | |
Cigna
| Professional | $29.38 | $29.38 | $29.38 | |
Medical Mutual of Ohio
| Professional | $29.38 | $29.38 | $29.38 | |
United
| Professional | $20.36 | $35.82 | $46.70 |