| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $7,079.46 | $16,218.10 | |
Aetna
| Professional | $4,786.30 | $4,786.30 | $4,786.30 | |
Anthem BCBS
| Facility | $758.58 | $2,511.89 | $9,549.93 | |
Medical Mutual of Ohio
| Facility | $3,090.30 | $5,128.61 | $6,760.83 |