| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57,543.99 | $79,432.82 | $125,892.54 | |
Cigna
| Facility | $52,480.75 | $85,113.80 | $125,892.54 | |
Medical Mutual of Ohio
| Facility | $45,708.82 | $72,443.60 | $117,489.76 | |
SummaCare
| Facility | $33,113.11 | $52,480.75 | $89,125.09 | |
United
| Facility | $8,709.64 | $79,432.82 | $120,226.44 |