| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,759.00 | $21,017.70 | $31,515.00 | |
Anthem BCBS
| Facility | $11,439.28 | $18,334.04 | $27,770.08 | |
Cigna
| Facility | $7,516.00 | $16,628.00 | $28,466.26 | |
Medical Mutual of Ohio
| Facility | $7,516.00 | $16,185.81 | $25,269.80 | |
United
| Facility | $9,286.14 | $21,545.42 | $31,231.74 |