| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.83 | $619.85 | $1,007.68 | |
CareSource
| Facility | $176.57 | $205.55 | $257.10 | |
Medical Mutual of Ohio
| Facility | $198.49 | $615.94 | $1,719.90 | |
United
| Facility | $444.00 | $979.00 | $3,218.00 |