| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $553.00 | |
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
Anthem BCBS
| Professional | $43.00 | $53.62 | $95.00 | |
Cigna
| Professional | $111.37 | $111.37 | $111.37 | |
Medical Mutual of Ohio
| Professional | $111.37 | $111.37 | $111.37 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |