| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,199.52 | $44,668.36 | $72,443.60 | |
Cigna
| Facility | $30,199.52 | $47,863.01 | $72,443.60 | |
Medical Mutual of Ohio
| Facility | $26,302.68 | $41,686.94 | $66,069.34 | |
SummaCare
| Facility | $19,054.61 | $30,199.52 | $50,118.72 | |
United
| Facility | $8,709.64 | $48,977.88 | $69,183.10 |