| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.91 | $105.10 | $130.07 | |
Anthem BCBS
| Professional | $114.56 | $127.93 | $368.59 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Medical Mutual of Ohio
| Professional | $109.51 | $109.51 | $109.51 | |
Molina
| Professional | $82.26 | $110.16 | $155.41 | |
United
| Professional | $109.99 | $147.02 | $228.88 |