| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $309.50 | $353.85 | $446.69 | |
Anthem BCBS
| Professional | $367.45 | $413.39 | $655.16 | |
Cigna
| Professional | $309.19 | $309.19 | $309.19 | |
Medical Mutual of Ohio
| Professional | $309.19 | $309.19 | $309.19 | |
Molina
| Professional | $271.09 | $365.64 | $510.76 | |
United
| Professional | $313.52 | $404.64 | $715.40 |