| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,307.10 | $27,111.50 | $35,485.19 | |
Anthem BCBS
| Facility | $16,387.78 | $26,259.10 | $39,783.10 | |
Cigna
| Facility | $7,516.00 | $21,454.85 | $36,729.54 | |
Medical Mutual of Ohio
| Facility | $7,516.00 | $21,188.59 | $32,605.21 | |
United
| Facility | $8,382.46 | $28,201.16 | $39,899.32 |