| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.27 | $2,475.00 | $11,581.00 | |
CareSource
| Facility | $204.09 | $222.65 | $324.20 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $260.63 | $260.63 | $260.63 | |
Medical Mutual of Ohio
| Facility | 62 | $159.84 | $159.84 | $159.84 |
Medical Mutual of Ohio
| Facility | AS | $25.58 | $25.58 | $25.58 |
United
| Facility | $444.00 | $965.00 | $2,914.00 |