| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.28 | $57.45 | $68.54 | |
Anthem BCBS
| Professional | $41.65 | $49.00 | $86.96 | |
CareSource
| Facility | $36.09 | $46.40 | $60.15 | |
Cigna
| Professional | $14.25 | $14.25 | $14.25 | |
Medical Mutual of Ohio
| Professional | $14.25 | $14.25 | $14.25 | |
Molina
| Professional | $28.00 | $42.00 | $53.46 |