| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.53 | $44.53 | $245.00 | |
Aetna
| Professional | $44.23 | $44.53 | $62.21 | |
Anthem BCBS
| Professional | $37.70 | $45.24 | $93.66 | |
Cigna
| Facility | $75.05 | $75.05 | $108.90 | |
Cigna
| Professional | $54.79 | $54.79 | $54.79 | |
Medical Mutual of Ohio
| Facility | $75.05 | $75.05 | $75.05 | |
Medical Mutual of Ohio
| Professional | $54.79 | $75.05 | $75.05 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 | |
United
| Professional | $35.27 | $52.94 | $85.20 |