| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.16 | $2,128.17 | $7,171.93 | |
Aetna
| Professional | $11.16 | $2,128.17 | $2,128.17 | |
Cigna
| Professional | $196.88 | $196.88 | $196.88 | |
Medical Mutual of Ohio
| Facility | $431.83 | $854.02 | $1,237.88 | |
Medical Mutual of Ohio
| Professional | $196.88 | $196.88 | $196.88 |