| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.89 | $52.89 | $90.10 | |
Anthem BCBS
| Professional | $29.14 | $36.97 | $104.82 | |
Cigna
| Professional | $31.97 | $57.43 | $108.11 | |
Medical Mutual of Ohio
| Professional | $31.97 | $57.43 | $121.25 | |
Molina
| Professional | $42.69 | $73.01 | $107.49 | |
United
| Professional | $37.00 | $61.66 | $104.82 |