| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.47 | $2,849.00 | $10,268.00 | |
CareSource
| Facility | $117.31 | $143.76 | $170.82 | |
Cigna
| Facility | $207.63 | $207.63 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $207.63 | $207.63 | $575.04 | |
United
| Facility | $444.00 | $1,009.00 | $3,218.00 |