| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.12 | $25.12 | $27.54 | |
Medical Mutual of Ohio
| Facility | $21.38 | $30.20 | $60.26 | |
Medical Mutual of Ohio
| Professional | $7.24 | $19.95 | $89.13 | |
United
| Professional | $11.75 | $15.14 | $25.12 |