| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.09 | $0.21 | $0.25 | |
Aetna
| Professional | $0.09 | $0.09 | $0.09 | |
Anthem BCBS
| Professional | $0.02 | $1.38 | $1.93 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Medical Mutual of Ohio
| Professional | $2.27 | $2.27 | $2.27 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |