| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.32 | $86.32 | $86.32 | |
Aetna
| Professional | $22.42 | $22.42 | $30.32 | |
Anthem BCBS
| Professional | $19.79 | $25.40 | $44.19 | |
Cigna
| Professional | $22.32 | $22.32 | $22.32 | |
Medical Mutual of Ohio
| Professional | $22.32 | $22.32 | $22.32 | |
United
| Professional | $14.48 | $24.95 | $45.43 |