| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $97.72 | $177.83 | |
Aetna
| Professional | $79.43 | $97.72 | $97.72 | |
Anthem BCBS
| Professional | $38.02 | $45.71 | $79.43 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $69.18 | $69.18 | $69.18 | |
Medical Mutual of Ohio
| Facility | $95.50 | $95.50 | $95.50 | |
Medical Mutual of Ohio
| Professional | $69.18 | $69.18 | $69.18 | |
Molina
| Professional | $34.67 | $50.12 | $60.26 |