| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,287.45 | $8,399.00 | $11,581.00 | |
Anthem BCBS
| Facility | $1,525.00 | $3,528.00 | $14,996.00 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
Medical Mutual of Ohio
| Facility | $1,207.14 | $1,207.14 | $1,207.14 | |
Medical Mutual of Ohio
| Facility | AS | $119.75 | $119.75 | $119.75 |
United
| Facility | $2,840.00 | $5,625.00 | $7,847.00 |