| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.43 | $216.00 | $248.00 | |
Ambetter
| Facility | $51.72 | $104.63 | $155.84 | |
Anthem BCBS
| Facility | $87.00 | $138.00 | $231.00 | |
Medical Mutual of Ohio
| Facility | $284.66 | $284.66 | $529.76 |