| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.80 | $2,989.00 | $9,504.00 | |
CareSource
| Facility | $140.81 | $176.01 | $209.13 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $0.11 | $969.88 | $2,771.42 | |
United
| Facility | $444.00 | $979.00 | $3,218.00 |