| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $177.83 | $229.09 | |
Anthem BCBS
| Professional | $0.02 | $239.88 | $346.74 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
Medical Mutual of Ohio
| Professional | $186.21 | $186.21 | $186.21 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
SummaCare
| Professional | $208.93 | $234.42 | $489.78 | |
United
| Professional | $181.97 | $257.04 | $389.05 |