| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.23 | $2,936.00 | $9,516.00 | |
CareSource
| Facility | $50.40 | $61.76 | $73.39 | |
Cigna
| Facility | $88.74 | $88.74 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $88.74 | $88.74 | $269.88 | |
United
| Facility | $444.00 | $1,009.00 | $3,218.00 |