| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $128.82 | $128.82 | $162.18 | |
Cigna
| Professional | $229.09 | $407.38 | $616.60 | |
Medical Mutual of Ohio
| Professional | $107.15 | $107.15 | $213.80 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 |