| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.55 | $5,360.50 | $23,425.00 | |
CareSource
| Facility | $303.22 | $303.22 | $441.53 | |
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 | $4,070.00 | $9,067.00 | $21,584.00 |