| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.56 | $98.22 | $138.55 | |
Anthem BCBS
| Professional | $53.29 | $61.75 | $167.44 | |
CareSource
| Facility | $129.00 | $154.80 | $193.50 | |
CareSource
| Professional | $141.90 | $167.70 | $309.60 | |
Cigna
| Professional | $61.92 | $61.92 | $61.92 | |
Medical Mutual of Ohio
| Professional | $61.92 | $61.92 | $61.92 | |
United
| Professional | $42.90 | $63.79 | $80.43 |