| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,179.70 | $36,137.19 | $47,815.20 | |
Cigna
| Facility | $18,581.66 | $28,971.60 | $50,700.30 | |
Medical Mutual of Ohio
| Facility | $15,854.71 | $28,242.48 | $47,672.77 | |
United
| Facility | $10,403.00 | $41,009.00 | $53,817.00 |