| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $85.11 | $85.11 | $104.71 | |
Cigna
| Professional | $93.33 | $186.21 | $398.11 | |
Medical Mutual of Ohio
| Professional | $102.33 | $102.33 | $128.82 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 |