| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.03 | $4,043.18 | $11,243.00 | |
Anthem BCBS
| Facility | $937.00 | $2,170.00 | $6,565.00 | |
CareSource
| Facility | $237.59 | $259.19 | $377.41 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $304.10 | $714.19 | $1,910.17 | |
United
| Facility | $444.00 | $965.00 | $2,914.00 |