| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.59 | $67.20 | $200.00 | |
Aetna
| Professional | $57.59 | $63.66 | $80.41 | |
Anthem BCBS
| Professional | $69.78 | $78.59 | $222.15 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Medical Mutual of Ohio
| Professional | $65.77 | $65.77 | $65.77 | |
Molina
| Professional | $82.26 | $110.16 | $155.41 | |
United
| Professional | $63.81 | $91.81 | $136.90 |