| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.04 | $162.88 | $257.39 | |
Anthem BCBS
| Professional | $149.66 | $197.70 | $314.70 | |
Cigna
| Professional | $152.07 | $152.07 | $152.07 | |
Medical Mutual of Ohio
| Professional | $152.07 | $152.07 | $152.07 | |
Molina
| Professional | $135.54 | $182.82 | $255.38 | |
United
| Professional | $118.01 | $198.02 | $373.71 |