| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100,644.00 | $155,021.00 | $213,034.00 | |
Cigna
| Facility | $91,956.94 | $142,352.84 | $220,505.00 | |
Medical Mutual of Ohio
| Facility | $83,692.50 | $136,807.04 | $208,673.98 | |
United
| Facility | $10,403.00 | $167,079.74 | $236,794.40 |