| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,417.38 | $29,512.09 | $53,703.18 | |
Cigna
| Facility | $16,595.87 | $26,915.35 | $39,810.72 | |
Medical Mutual of Ohio
| Facility | $17,378.01 | $28,183.83 | $50,118.72 | |
SummaCare
| Facility | $10,471.29 | $16,595.87 | $28,183.83 | |
United
| Facility | $10,964.78 | $31,622.78 | $50,118.72 |