| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $143.00 | $295.50 |
Aetna
| Professional | 26 | $90.00 | $110.92 | $291.50 |
Anthem BCBS
| Professional | 26 | $88.53 | $130.91 | $200.96 |
Cigna
| Professional | 26 | $81.81 | $113.94 | $194.57 |
Medical Mutual of Ohio
| Professional | 26 | $81.81 | $113.94 | $194.57 |
United
| Professional | 26 | $67.50 | $96.40 | $183.87 |