| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.06 | $63.55 | $74.63 | |
Anthem BCBS
| Professional | $34.85 | $38.99 | $105.23 | |
CareSource
| Facility | $83.47 | $100.16 | $125.21 | |
CareSource
| Professional | $91.82 | $108.51 | $200.33 | |
Cigna
| Professional | $37.88 | $37.88 | $37.88 | |
Medical Mutual of Ohio
| Professional | $37.88 | $37.88 | $37.88 | |
United
| Professional | $26.25 | $39.36 | $51.11 |