| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.53 | $91.60 | $109.43 | |
Anthem BCBS
| Professional | $47.36 | $53.16 | $143.49 | |
CareSource
| Facility | $123.41 | $148.09 | $172.77 | |
CareSource
| Professional | $135.75 | $160.43 | $296.18 | |
Cigna
| Professional | $51.66 | $51.66 | $51.66 | |
Medical Mutual of Ohio
| Professional | $51.66 | $51.66 | $51.66 | |
United
| Professional | $35.79 | $57.38 | $74.19 |