| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.33 | $152.33 | $260.17 | |
Anthem BCBS
| Professional | $134.35 | $188.91 | $288.87 | |
Cigna
| Professional | $150.88 | $150.88 | $150.88 | |
Medical Mutual of Ohio
| Professional | $150.88 | $150.88 | $150.88 | |
Molina
| Professional | $135.54 | $182.82 | $255.38 | |
United
| Professional | $111.25 | $198.13 | $354.70 |