| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.43 | $216.00 | $248.00 | |
Ambetter
| Facility | $59.80 | $79.73 | $108.03 | |
Anthem BCBS
| Facility | $201.00 | $215.00 | $231.00 | |
Medical Mutual of Ohio
| Facility | $92.00 | $92.00 | $92.00 |