| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $386.17 | $6,845.00 | $11,679.00 | |
Anthem BCBS
| Facility | $5,000.00 | $13,093.00 | $15,697.00 | |
CareSource
| Facility | $196.44 | $196.44 | $286.05 | |
Medical Mutual of Ohio
| Facility | $4,072.28 | $4,072.28 | $4,072.28 | |
United
| Facility | $444.00 | $979.00 | $4,132.00 |