| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.67 | $46.67 | $119.00 | |
Aetna
| Professional | $36.82 | $47.58 | $55.79 | |
Anthem BCBS
| Professional | $42.68 | $54.41 | $82.97 | |
Cigna
| Professional | $43.15 | $43.15 | $43.15 | |
Medical Mutual of Ohio
| Professional | $43.15 | $43.15 | $43.15 | |
Molina
| Professional | $27.57 | $39.24 | $53.74 | |
United
| Professional | $45.62 | $62.72 | $97.44 |