| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.09 | $83.68 | $113.43 | |
Anthem BCBS
| Professional | $67.44 | $79.56 | $151.58 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
Medical Mutual of Ohio
| Professional | $89.28 | $89.28 | $89.28 | |
Molina
| Professional | $78.46 | $109.53 | $155.52 | |
United
| Professional | $79.69 | $112.56 | $166.24 |