| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,542.00 | $24,333.60 | $33,439.90 | |
Anthem BCBS
| Facility | $12,839.06 | $20,572.78 | $31,168.20 | |
Cigna
| Facility | $7,516.00 | $20,218.23 | $34,612.51 | |
Medical Mutual of Ohio
| Facility | $7,516.00 | $19,967.32 | $30,725.91 | |
United
| Facility | $10,403.00 | $27,779.80 | $51,303.00 |