| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,272.18 | $5,458.02 | $9,863.00 | |
Anthem BCBS
| Facility | $1,755.00 | $3,554.00 | $19,117.00 | |
CareSource
| Facility | $447.07 | $536.48 | $664.02 | |
Cigna
| Facility | $530.00 | $4,270.42 | $7,204.39 | |
Medical Mutual of Ohio
| Facility | $530.00 | $4,270.42 | $5,366.97 | |
United
| Facility | $800.00 | $4,072.00 | $6,238.00 |