| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.50 | $199.54 | $315.33 | |
Anthem BCBS
| Professional | $90.52 | $162.54 | $281.64 | |
CareSource
| Professional | $130.56 | $218.30 | $257.99 | |
Cigna
| Professional | $116.86 | $208.37 | $382.43 | |
Medical Mutual of Ohio
| Professional | $120.11 | $216.17 | $382.43 | |
Molina
| Professional | $167.71 | $225.92 | $311.05 | |
United
| Professional | $166.88 | $234.17 | $401.84 |