| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.24 | $51.26 | $65.73 | |
Anthem BCBS
| Professional | $28.91 | $31.80 | $87.39 | |
CareSource
| Facility | $67.33 | $80.80 | $101.00 | |
CareSource
| Professional | $74.06 | $87.53 | $161.59 | |
Cigna
| Professional | $32.19 | $32.19 | $32.19 | |
Medical Mutual of Ohio
| Professional | $32.19 | $32.19 | $32.19 | |
United
| Professional | $22.30 | $33.29 | $42.74 |