| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.45 | $77.64 | $96.02 | |
Anthem BCBS
| Professional | $43.61 | $48.68 | $132.34 | |
CareSource
| Facility | $101.96 | $122.35 | $152.94 | |
CareSource
| Professional | $112.16 | $132.55 | $244.70 | |
Cigna
| Professional | $48.24 | $48.24 | $48.24 | |
Medical Mutual of Ohio
| Professional | $48.24 | $48.24 | $48.24 | |
United
| Professional | $33.43 | $49.28 | $66.84 |