| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.14 | $27.14 | $34.26 | |
Aetna
| Professional | $25.61 | $29.30 | $36.15 | |
Cigna
| Facility | $40.07 | $40.07 | $40.07 | |
Cigna
| Professional | $29.76 | $29.76 | $29.76 | |
Medical Mutual of Ohio
| Facility | $40.07 | $40.07 | $40.07 | |
Medical Mutual of Ohio
| Professional | $29.76 | $29.76 | $29.76 | |
Molina
| Professional | $27.49 | $39.84 | $53.74 | |
United
| Professional | $29.78 | $41.92 | $64.86 |