| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $41.69 | $77.62 | $89.13 | |
Cigna
| Professional | $64.57 | $79.43 | $128.82 | |
Medical Mutual of Ohio
| Professional | $25.12 | $60.26 | $104.71 | |
United
| Facility | $17.38 | $41.69 | $58.88 | |
United
| Professional | $29.51 | $42.66 | $69.18 |