| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.98 | $117.96 | $137.69 | |
Anthem BCBS
| Professional | $99.66 | $127.05 | $193.75 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Medical Mutual of Ohio
| Professional | $109.51 | $109.51 | $109.51 | |
Molina
| Professional | $80.33 | $107.71 | $155.36 | |
United
| Professional | $109.30 | $151.99 | $227.28 |