| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.02 | $76.09 | $89.09 | |
Anthem BCBS
| Professional | $40.97 | $47.21 | $127.29 | |
CareSource
| Facility | $99.93 | $119.92 | $149.90 | |
CareSource
| Professional | $109.92 | $129.91 | $239.83 | |
Cigna
| Professional | $45.83 | $45.83 | $45.83 | |
Medical Mutual of Ohio
| Professional | $45.83 | $45.83 | $45.83 | |
United
| Professional | $31.75 | $47.63 | $60.60 |