| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $754.01 | $5,108.60 | $11,581.00 | |
Anthem BCBS
| Facility | $1,425.00 | $4,313.00 | $25,522.00 | |
CareSource
| Facility | $393.34 | $472.01 | $584.22 | |
Cigna
| Facility | $530.00 | $4,968.67 | $8,382.37 | |
Medical Mutual of Ohio
| Facility | $530.00 | $4,968.67 | $6,244.51 | |
United
| Facility | $1,275.00 | $7,705.00 | $12,871.00 |