| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $200.91 | $200.91 | $376.80 | |
Anthem BCBS
| Professional | $196.77 | $264.75 | $421.96 | |
Cigna
| Professional | $194.32 | $194.32 | $194.32 | |
Medical Mutual of Ohio
| Professional | $194.32 | $194.32 | $194.32 | |
Molina
| Professional | $189.76 | $255.95 | $357.53 | |
United
| Professional | $101.20 | $262.26 | $482.58 |