| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.72 | $70.72 | $164.00 | |
Aetna
| Professional | $51.24 | $70.72 | $83.29 | |
Anthem BCBS
| Professional | $59.26 | $75.67 | $116.60 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
Medical Mutual of Ohio
| Professional | $66.06 | $66.06 | $66.06 | |
Molina
| Professional | $52.84 | $72.25 | $102.02 | |
United
| Professional | $63.23 | $90.90 | $134.38 |