| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $45.71 | |
Aetna
| Professional | $38.02 | $46.77 | $60.26 | |
Anthem BCBS
| Professional | $42.66 | $57.54 | $97.72 | |
Cigna
| Professional | $42.66 | $42.66 | $42.66 | |
Medical Mutual of Ohio
| Professional | $42.66 | $42.66 | $42.66 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
SummaCare
| Professional | $47.86 | $53.70 | $112.20 | |
United
| Professional | $45.71 | $63.10 | $97.72 |