| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $917.00 | $4,803.00 | $11,581.00 | |
Anthem BCBS
| Facility | $1,712.00 | $3,405.00 | $14,996.00 | |
CareSource
| Facility | $541.05 | $694.40 | $922.26 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $695.98 | $695.98 | $695.98 | |
United
| Facility | $2,398.36 | $3,724.00 | $6,238.00 |