| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.41 | $2,113.00 | $10,268.00 | |
Anthem BCBS
| Facility | $814.00 | $1,927.00 | $3,943.00 | |
CareSource
| Facility | $79.23 | $100.64 | $125.88 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $153.55 | $153.55 | $153.55 | |
United
| Facility | $1,020.00 | $1,940.00 | $4,067.00 |