| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.48 | $42.48 | $52.77 | |
Aetna
| Professional | $40.17 | $46.03 | $57.03 | |
Cigna
| Facility | $62.56 | $62.56 | $62.56 | |
Cigna
| Professional | $47.02 | $47.02 | $47.02 | |
Medical Mutual of Ohio
| Facility | $62.56 | $62.56 | $62.56 | |
Medical Mutual of Ohio
| Professional | $47.02 | $47.02 | $47.02 | |
Molina
| Professional | $27.49 | $39.84 | $53.74 | |
United
| Professional | $45.50 | $62.99 | $98.55 |