| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.83 | $70.83 | $173.00 | |
Aetna
| Professional | $53.10 | $70.83 | $82.71 | |
Anthem BCBS
| Professional | $61.68 | $78.53 | $119.75 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Medical Mutual of Ohio
| Professional | $65.77 | $65.77 | $65.77 | |
Molina
| Professional | $80.33 | $107.71 | $155.36 | |
United
| Professional | $67.55 | $94.20 | $139.55 |