| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $422.70 | $2,142.42 | $9,504.00 | |
CareSource
| Facility | $242.90 | $353.70 | $379.53 | |
Cigna
| Facility | $424.52 | $424.52 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $424.52 | $424.52 | $1,466.37 | |
United
| Facility | $444.00 | $1,009.00 | $3,218.00 |