| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.94 | $2,800.00 | $11,581.00 | |
CareSource
| Facility | $92.76 | $101.20 | $147.35 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $117.97 | $117.97 | $117.97 | |
United
| Facility | $480.00 | $979.00 | $3,398.00 |