| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.22 | $290.74 | $290.74 | |
Aetna
| Professional | $236.06 | $290.74 | $294.67 | |
Anthem BCBS
| Professional | $13.75 | $15.81 | $304.98 | |
Cigna
| Professional | $238.10 | $238.10 | $238.10 | |
Medical Mutual of Ohio
| Professional | $238.10 | $238.10 | $238.10 | |
United
| Professional | $224.26 | $283.27 | $410.55 |