| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $98.00 | $145.00 | $177.77 | |
Cigna
| Facility | $148.00 | $195.00 | $347.00 | |
Medical Mutual of Ohio
| Facility | $148.00 | $195.00 | $370.00 | |
United
| Facility | $145.00 | $314.36 | $10,403.00 |