| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.38 | $73.27 | $99.98 | |
Anthem BCBS
| Professional | $39.44 | $45.45 | $124.89 | |
CareSource
| Facility | $96.22 | $115.46 | $144.33 | |
CareSource
| Professional | $105.84 | $125.09 | $230.93 | |
Cigna
| Professional | $46.19 | $46.19 | $46.19 | |
Medical Mutual of Ohio
| Professional | $46.19 | $46.19 | $46.19 | |
United
| Professional | $32.00 | $47.57 | $61.08 |