| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.01 | $3.01 | $12.00 | |
Aetna
| Professional | $1.13 | $3.01 | $3.01 | |
Anthem BCBS
| Professional | $1.60 | $2.25 | $3.19 | |
Cigna
| Professional | $1.74 | $1.74 | $1.74 | |
Medical Mutual of Ohio
| Professional | $1.74 | $1.74 | $5.00 | |
Molina
| Professional | $40.00 | $50.00 | $50.00 | |
United
| Professional | $1.83 | $1.83 | $2.92 |