| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $805.39 | $3,325.00 | $10,268.00 | |
Anthem BCBS
| Facility | $1,069.00 | $3,392.00 | $19,117.00 | |
CareSource
| Facility | $518.97 | $622.76 | $770.81 | |
Cigna
| Facility | $530.00 | $3,518.57 | $5,935.99 | |
Medical Mutual of Ohio
| Facility | $530.00 | $3,518.57 | $4,422.06 | |
United
| Facility | $800.00 | $4,072.00 | $6,238.00 |