| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.22 | $57.68 | $66.42 | |
Anthem BCBS
| Professional | $30.61 | $36.71 | $92.56 | |
CareSource
| Facility | $77.70 | $93.25 | $116.57 | |
CareSource
| Professional | $85.48 | $101.02 | $186.50 | |
Cigna
| Professional | $33.32 | $33.32 | $33.32 | |
Medical Mutual of Ohio
| Professional | $33.32 | $33.32 | $33.32 | |
United
| Professional | $23.09 | $37.84 | $47.59 |