| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $4.07 | $18.20 | $18.62 | |
Anthem BCBS
| Professional | $30.20 | $33.88 | $51.29 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Medical Mutual of Ohio
| Facility | $64.57 | $64.57 | $64.57 | |
Molina
| Professional | $33.11 | $50.12 | $60.26 | |
SummaCare
| Professional | $50.12 | $60.26 | $75.86 |