| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.86 | $152.86 | $390.00 | |
Aetna
| Professional | $121.50 | $157.85 | $184.09 | |
Anthem BCBS
| Professional | $140.99 | $179.62 | $273.92 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Medical Mutual of Ohio
| Professional | $141.06 | $141.06 | $141.06 | |
Molina
| Professional | $107.83 | $143.53 | $208.73 | |
United
| Professional | $153.32 | $208.44 | $321.76 |