| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.00 | $383.00 | $543.00 | |
Anthem BCBS
| Facility | $150.00 | $173.00 | $262.00 | |
Cigna
| Facility | $146.00 | $245.00 | $293.00 | |
Medical Mutual of Ohio
| Facility | $146.00 | $245.00 | $293.00 | |
Optum
| Facility | $167.00 | $238.00 | $465.00 |