| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,079.46 | $17,782.79 | $29,512.09 | |
Aetna
| Professional | $3,801.89 | $7,943.28 | $7,943.28 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $15.49 | |
Medical Mutual of Ohio
| Facility | $6,456.54 | $10,471.29 | $16,982.44 |