| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.52 | $14.52 | $17.80 | |
Aetna
| Professional | $13.53 | $15.46 | $19.38 | |
Cigna
| Facility | $21.36 | $21.36 | $21.36 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Medical Mutual of Ohio
| Facility | $21.36 | $21.36 | $21.36 | |
Medical Mutual of Ohio
| Professional | $15.77 | $15.77 | $15.77 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Professional | $15.57 | $21.62 | $34.60 |