| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $8,912.51 | $12,022.64 | |
CareSource
| Facility | $870.96 | $870.96 | $870.96 | |
Cigna
| Facility | $741.31 | $741.31 | $21,379.62 | |
Medical Mutual of Ohio
| Facility | $21,379.62 | $21,379.62 | $21,379.62 | |
United
| Facility | $457.09 | $954.99 | $3,019.95 |