| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.17 | $79.63 | $100.78 | |
Anthem BCBS
| Professional | $42.87 | $49.50 | $135.74 | |
CareSource
| Facility | $104.58 | $125.50 | $156.87 | |
CareSource
| Professional | $115.04 | $135.94 | $250.99 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
Medical Mutual of Ohio
| Professional | $49.92 | $49.92 | $49.92 | |
United
| Professional | $34.59 | $51.89 | $65.70 |