| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,030.16 | $4,044.00 | $10,268.00 | |
Anthem BCBS
| Facility | $1,760.00 | $3,576.00 | $14,996.00 | |
CareSource
| Facility | $635.23 | $692.98 | $1,009.07 | |
Medical Mutual of Ohio
| Facility | $1,566.76 | $1,566.76 | $5,175.54 | |
United
| Facility | $2,904.00 | $5,998.00 | $9,245.00 |