| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $929.70 | $4,723.00 | $10,817.74 | |
Anthem BCBS
| Facility | $1,712.00 | $3,528.00 | $14,996.00 | |
CareSource
| Facility | $475.06 | $609.70 | $809.76 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $610.79 | $610.79 | $610.79 | |
United
| Facility | $2,840.00 | $5,625.00 | $7,847.00 |