| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.26 | $16.26 | $27.00 | |
Aetna
| Professional | $14.82 | $16.26 | $17.64 | |
Anthem BCBS
| Professional | $7.45 | $7.45 | $12.66 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $4.38 | $4.38 | $9.38 | |
Medical Mutual of Ohio
| Professional | $4.38 | $4.38 | $4.38 | |
United
| Professional | $3.44 | $5.15 | $7.83 |