| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,558.94 | $8,279.00 | $13,463.00 | |
Anthem BCBS
| Facility | $6,932.00 | $41,191.97 | $75,194.73 | |
CareSource
| Facility | $1,111.09 | $1,336.54 | $1,654.25 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $10,339.49 | $10,339.49 | $10,339.49 | |
United
| Facility | $4,873.00 | $10,707.00 | $15,469.00 |