| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $93.33 | $93.33 | $114.82 | |
Cigna
| Professional | $162.18 | $295.12 | $446.68 | |
Medical Mutual of Ohio
| Professional | $186.21 | $186.21 | $194.98 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 |