| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.26 | $7.26 | $7.99 | |
Aetna
| Professional | $7.26 | $7.26 | $15.00 | |
Anthem BCBS
| Professional | $0.03 | $5.00 | $5.00 | |
Cigna
| Professional | $161.83 | $212.93 | $255.12 | |
Medical Mutual of Ohio
| Professional | $6.00 | $13.00 | $41.25 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |