| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.79 | $109.79 | $187.22 | |
Anthem BCBS
| Professional | $108.42 | $143.58 | $228.58 | |
Cigna
| Professional | $108.92 | $108.92 | $108.92 | |
Medical Mutual of Ohio
| Professional | $108.92 | $108.92 | $108.92 | |
Molina
| Professional | $108.43 | $146.25 | $204.30 | |
United
| Professional | $92.66 | $143.58 | $272.92 |