| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.70 | $2,800.00 | $11,581.00 | |
CareSource
| Facility | $132.90 | $144.97 | $211.12 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $169.76 | $169.76 | $169.76 | |
United
| Facility | $444.00 | $965.00 | $2,914.00 |