| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $928.59 | $1,082.00 | $1,578.60 | |
Aetna
| Professional | $791.41 | $791.41 | $928.59 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $9.61 | |
Cigna
| Professional | $271.26 | $271.26 | $271.26 | |
Medical Mutual of Ohio
| Professional | $271.26 | $271.26 | $271.26 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |