| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.18 | $2,989.00 | $20,000.00 | |
CareSource
| Facility | $62.24 | $79.87 | $106.08 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $79.06 | $79.06 | $1,624.25 | |
Medical Mutual of Ohio
| Facility | AS | $7.76 | $7.76 | $7.76 |
United
| Facility | $444.00 | $965.00 | $2,914.00 |