| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $100.00 | $180.45 |
Aetna
| Professional | 26 | $38.44 | $100.00 | $265.00 |
Ambetter
| Professional | 26 | $21.79 | $28.94 | $38.11 |
Anthem BCBS
| Professional | 26 | $24.92 | $32.64 | $53.22 |
Cigna
| Professional | 26 | $28.60 | $39.50 | $66.62 |
Medical Mutual of Ohio
| Professional | 26 | $29.22 | $39.50 | $65.12 |
United
| Professional | 26 | $23.56 | $32.65 | $60.82 |