| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.61 | $199.74 | $231.87 | |
Anthem BCBS
| Professional | $171.29 | $218.22 | $332.78 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Medical Mutual of Ohio
| Professional | $184.50 | $184.50 | $184.50 | |
Molina
| Professional | $160.67 | $215.42 | $310.73 | |
United
| Professional | $189.02 | $263.51 | $390.31 |