| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,005.75 | $3,277.00 | $9,863.00 | |
Anthem BCBS
| Facility | $1,760.00 | $3,576.00 | $14,996.00 | |
CareSource
| Facility | $635.78 | $693.58 | $1,009.95 | |
Medical Mutual of Ohio
| Facility | $737.50 | $737.50 | $737.50 | |
United
| Facility | $2,840.00 | $5,625.00 | $7,847.00 |