| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.60 | $47.60 | $120.00 | |
Aetna
| Professional | $36.83 | $47.72 | $55.80 | |
Anthem BCBS
| Professional | $42.71 | $54.44 | $83.02 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Medical Mutual of Ohio
| Professional | $44.04 | $44.04 | $44.04 | |
Molina
| Professional | $27.57 | $39.24 | $53.74 | |
United
| Professional | $46.85 | $63.02 | $97.74 |