| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $895.67 | $4,936.88 | $10,268.00 | |
Anthem BCBS
| Facility | $1,760.00 | $3,683.00 | $14,996.00 | |
CareSource
| Facility | $483.07 | $619.98 | $823.41 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $619.72 | $937.64 | $1,812.91 | |
Medical Mutual of Ohio
| Facility | AS | $61.52 | $61.52 | $61.52 |
United
| Facility | $2,840.00 | $5,625.00 | $7,847.00 |