| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.70 | $45.07 | $145.00 | |
Aetna
| Professional | $38.70 | $44.09 | $55.75 | |
Anthem BCBS
| Professional | $46.68 | $54.54 | $148.61 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Medical Mutual of Ohio
| Professional | $44.04 | $44.04 | $44.04 | |
Molina
| Professional | $27.85 | $40.02 | $53.95 | |
United
| Professional | $46.68 | $62.95 | $95.08 |