| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.80 | $93.66 | $125.59 | |
Anthem BCBS
| Professional | $51.72 | $60.41 | $160.15 | |
CareSource
| Facility | $126.20 | $151.44 | $189.30 | |
CareSource
| Professional | $138.82 | $164.06 | $302.88 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Medical Mutual of Ohio
| Professional | $57.66 | $57.66 | $57.66 | |
United
| Professional | $39.95 | $59.93 | $75.88 |