| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.44 | $172.96 | $252.00 | |
Aetna
| Professional | $138.75 | $172.96 | $175.30 | |
Anthem BCBS
| Professional | $13.75 | $15.81 | $179.71 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Medical Mutual of Ohio
| Professional | $141.60 | $141.60 | $141.60 | |
United
| Professional | $124.88 | $174.29 | $273.99 |