| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.18 | $99.02 | $122.68 | |
Anthem BCBS
| Professional | $56.11 | $62.39 | $169.55 | |
CareSource
| Facility | $130.63 | $156.76 | $182.88 | |
CareSource
| Professional | $143.69 | $169.82 | $313.51 | |
Cigna
| Professional | $62.26 | $62.26 | $62.26 | |
Medical Mutual of Ohio
| Professional | $62.26 | $62.26 | $62.26 | |
United
| Professional | $43.14 | $64.59 | $80.01 |