| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.26 | $296.89 | $1,322.53 | |
CareSource
| Facility | $153.04 | $153.04 | $222.83 | |
Cigna
| Facility | $11,613.00 | $20,065.00 | $23,000.00 | |
Medical Mutual of Ohio
| Facility | $9,046.00 | $19,503.00 | $21,036.00 | |
United
| Facility | $480.00 | $1,017.00 | $3,398.00 |