| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,502.37 | $6,832.00 | $11,243.00 | |
Anthem BCBS
| Facility | $2,097.00 | $8,010.00 | $36,529.00 | |
CareSource
| Facility | $658.44 | $790.13 | $1,234.58 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $3,690.76 | $3,690.76 | $9,535.15 | |
United
| Facility | $3,206.00 | $6,578.00 | $10,075.00 |