| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.00 | $233.71 | $233.71 | |
Aetna
| Professional | $216.59 | $233.71 | $236.86 | |
Anthem BCBS
| Professional | $13.75 | $15.81 | $271.18 | |
Cigna
| Professional | $191.36 | $191.36 | $191.36 | |
Medical Mutual of Ohio
| Professional | $191.36 | $191.36 | $191.36 | |
United
| Professional | $194.93 | $263.00 | $417.20 |