| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $483.87 | $2,485.00 | $10,635.00 | |
CareSource
| Facility | $298.89 | $326.08 | $474.81 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $378.44 | $378.44 | $378.44 | |
Medical Mutual of Ohio
| Facility | AS | $37.13 | $37.13 | $37.13 |
United
| Facility | $444.00 | $965.00 | $2,914.00 |