| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.48 | $69.34 | $86.99 | |
Anthem BCBS
| Professional | $37.32 | $43.01 | $113.97 | |
CareSource
| Facility | $91.05 | $109.26 | $136.58 | |
CareSource
| Professional | $100.16 | $118.37 | $218.52 | |
Cigna
| Professional | $41.03 | $41.03 | $41.03 | |
Medical Mutual of Ohio
| Professional | $41.03 | $41.03 | $41.03 | |
United
| Professional | $28.43 | $42.65 | $55.76 |