| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.23 | $43.23 | $43.23 | |
Aetna
| Professional | $24.00 | $24.97 | $36.63 | |
Anthem BCBS
| Professional | $2.00 | $2.16 | $3.27 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $0.65 | $0.65 | $0.65 | |
Medical Mutual of Ohio
| Professional | $0.65 | $0.65 | $0.65 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |