| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $146.46 | $146.46 | $182.82 | |
Cigna
| Professional | $189.21 | $239.60 | $715.98 | |
Medical Mutual of Ohio
| Professional | $203.23 | $837.60 | $837.60 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |