| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.85 | $2,661.00 | $9,516.00 | |
CareSource
| Facility | $174.67 | $174.67 | $254.35 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $491.81 | $758.23 | $2,897.01 | |
United
| Facility | $444.00 | $979.00 | $3,218.00 |