| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.52 | $16.50 | $44.00 | |
Aetna
| Professional | $14.09 | $15.78 | $19.38 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Medical Mutual of Ohio
| Professional | $15.77 | $15.77 | $15.77 | |
United
| Professional | $15.88 | $22.84 | $33.72 |