| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.21 | $99.21 | $230.00 | |
Aetna
| Professional | $72.18 | $99.21 | $116.61 | |
Anthem BCBS
| Professional | $83.42 | $106.53 | $163.08 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Medical Mutual of Ohio
| Professional | $92.55 | $92.55 | $92.55 | |
Molina
| Professional | $80.33 | $107.71 | $155.36 | |
United
| Professional | $84.75 | $127.45 | $187.50 |