| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.29 | $147.51 | $423.00 | |
Aetna
| Professional | $124.29 | $144.74 | $183.71 | |
Anthem BCBS
| Professional | $150.04 | $179.40 | $477.66 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Medical Mutual of Ohio
| Professional | $141.06 | $141.06 | $141.06 | |
Molina
| Professional | $109.84 | $148.65 | $208.79 | |
United
| Professional | $154.26 | $209.98 | $318.44 |