| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.22 | $2,113.00 | $10,268.00 | |
CareSource
| Facility | $146.30 | $213.02 | $228.59 | |
Cigna
| Facility | $257.43 | $257.43 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $257.43 | $257.43 | $578.66 | |
United
| Facility | $444.00 | $1,009.00 | $3,218.00 |