| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,810.30 | $22,310.20 | $30,871.50 | |
Anthem BCBS
| Facility | $12,193.32 | $19,538.07 | $29,600.60 | |
Cigna
| Facility | $7,516.00 | $18,665.34 | $31,954.07 | |
Medical Mutual of Ohio
| Facility | $7,516.00 | $18,433.71 | $28,365.98 | |
United
| Facility | $8,716.89 | $24,019.92 | $35,058.40 |