| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.81 | $1,902.00 | $9,516.00 | |
CareSource
| Facility | $126.04 | $151.25 | $187.20 | |
Cigna
| Facility | $228.18 | $530.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $228.18 | $530.00 | $600.00 | |
United
| Facility | $135.00 | $876.00 | $3,218.00 |