| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.50 | $67.59 | $202.00 | |
Aetna
| Professional | $57.50 | $62.99 | $77.54 | |
Anthem BCBS
| Professional | $68.26 | $76.69 | $220.97 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
Medical Mutual of Ohio
| Professional | $66.06 | $66.06 | $66.06 | |
Molina
| Professional | $54.68 | $73.26 | $102.04 | |
United
| Professional | $65.09 | $89.61 | $134.38 |