| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $2,511.89 | $10,715.19 | |
CareSource
| Facility | $131.83 | $141.25 | $173.78 | |
Cigna
| Facility | $34.67 | $239.88 | $707.95 | |
Medical Mutual of Ohio
| Facility | $239.88 | $239.88 | $602.56 | |
SummaCare
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $134.90 | $870.96 | $2,818.38 |