| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.35 | $50.70 | $62.20 | |
Anthem BCBS
| Professional | $28.60 | $31.46 | $86.43 | |
CareSource
| Facility | $66.59 | $79.91 | $99.89 | |
CareSource
| Professional | $73.25 | $86.57 | $159.82 | |
Cigna
| Professional | $31.15 | $31.15 | $31.15 | |
Medical Mutual of Ohio
| Professional | $31.15 | $31.15 | $31.15 | |
United
| Professional | $21.58 | $32.38 | $42.27 |