| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.71 | $82.31 | $110.39 | |
Anthem BCBS
| Professional | $44.78 | $52.29 | $137.03 | |
CareSource
| Facility | $109.23 | $131.08 | $163.85 | |
CareSource
| Professional | $120.15 | $142.00 | $262.14 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Medical Mutual of Ohio
| Professional | $49.33 | $49.33 | $49.33 | |
United
| Professional | $34.18 | $51.28 | $66.45 |