| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.02 | $2.02 | $233.00 | |
Aetna
| Professional | $2.02 | $2.02 | $2.02 | |
Anthem BCBS
| Professional | $46.00 | $57.36 | $98.00 | |
Cigna
| Professional | $93.87 | $93.87 | $93.87 | |
Medical Mutual of Ohio
| Professional | $93.87 | $93.87 | $93.87 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |