| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.95 | $187.95 | $187.95 | |
Anthem BCBS
| Facility | $85.00 | $85.00 | $135.00 | |
Cigna
| Facility | $65.00 | $65.00 | $184.00 | |
Medical Mutual of Ohio
| Facility | $65.00 | $65.00 | $184.00 |