| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.01 | $3,999.00 | $10,268.00 | |
Anthem BCBS
| Facility | $891.00 | $2,170.00 | $5,211.00 | |
CareSource
| Facility | $125.69 | $183.02 | $183.02 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $1,373.38 | $1,373.38 | $1,373.38 | |
United
| Facility | $444.00 | $975.00 | $2,914.00 |