| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.86 | $75.15 | $87.99 | |
Anthem BCBS
| Professional | $64.86 | $82.61 | $125.98 | |
Cigna
| Professional | $69.93 | $69.93 | $69.93 | |
Medical Mutual of Ohio
| Professional | $69.93 | $69.93 | $69.93 | |
Molina
| Professional | $80.33 | $107.71 | $155.36 | |
United
| Professional | $71.59 | $98.83 | $148.47 |