| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $40.00 | $443.00 | |
Aetna
| Professional | $40.00 | $40.00 | $40.00 | |
Anthem BCBS
| Professional | $58.00 | $72.31 | $154.22 | |
Cigna
| Professional | $139.72 | $139.72 | $139.72 | |
Medical Mutual of Ohio
| Professional | $139.72 | $139.72 | $139.72 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |