| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $2,570.40 | $10,715.19 | |
CareSource
| Facility | $223.87 | $223.87 | $263.03 | |
Cigna
| Facility | $21,379.62 | $21,379.62 | $21,379.62 | |
Medical Mutual of Ohio
| Facility | $21,379.62 | $21,379.62 | $21,379.62 | |
United
| Facility | $457.09 | $954.99 | $3,019.95 |