| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.41 | $180.48 | $223.37 | |
Anthem BCBS
| Professional | $195.46 | $218.25 | $622.26 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Medical Mutual of Ohio
| Professional | $184.50 | $184.50 | $184.50 | |
Molina
| Professional | $164.52 | $220.33 | $310.83 | |
United
| Professional | $189.10 | $254.67 | $387.66 |