| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $1,093.00 | |
Aetna
| Professional | $450.00 | $450.00 | $765.00 | |
CareSource
| Facility | $409.90 | $409.90 | $430.40 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
Medical Mutual of Ohio
| Professional | $371.73 | $371.73 | $371.73 | |
United
| Professional | $414.50 | $583.80 | $911.12 |