| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.76 | $69.76 | $69.76 | |
Aetna
| Professional | $18.12 | $24.68 | $41.28 | |
Anthem BCBS
| Professional | $18.29 | $24.67 | $48.91 | |
Cigna
| Professional | $22.32 | $22.32 | $22.32 | |
Medical Mutual of Ohio
| Professional | $22.32 | $22.32 | $22.32 | |
United
| Professional | $14.48 | $24.95 | $42.42 |