| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.71 | $85.64 | $11,627.00 | |
Aetna
| Professional | $18.37 | $53.63 | $86.68 | |
Anthem BCBS
| Professional | $21.66 | $40.02 | $93.61 | |
Cigna
| Facility | $29.04 | $29.04 | $350.00 | |
Cigna
| Professional | $74.09 | $74.09 | $74.09 | |
Medical Mutual of Ohio
| Facility | $29.04 | $29.04 | $600.00 | |
Medical Mutual of Ohio
| Professional | $74.09 | $74.09 | $74.09 | |
Molina
| Professional | $77.58 | $108.52 | $152.52 | |
United
| Professional | $40.85 | $81.20 | $154.06 |