| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,968.25 | $28,992.61 | $67,293.03 | |
Aetna
| Professional | $14,126.71 | $19,968.25 | $19,968.25 | |
Anthem BCBS
| Professional | $4,985.01 | $4,985.01 | $9,970.00 | |
Cigna
| Professional | $16,087.50 | $16,087.50 | $16,087.50 | |
Medical Mutual of Ohio
| Facility | $42,076.22 | $42,076.22 | $42,076.22 | |
Medical Mutual of Ohio
| Professional | $16,087.50 | $16,087.50 | $16,087.50 |