| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.28 | $2,113.00 | $10,268.00 | |
CareSource
| Facility | $72.42 | $105.45 | $113.16 | |
Cigna
| Facility | $128.44 | $128.44 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $128.44 | $128.44 | $188.98 | |
United
| Facility | $444.00 | $1,009.00 | $3,218.00 |