| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77,987.00 | $125,909.00 | $176,507.00 | |
Cigna
| Facility | $76,189.77 | $117,944.67 | $182,696.67 | |
Medical Mutual of Ohio
| Facility | $69,342.39 | $113,349.78 | $172,894.22 | |
United
| Facility | $10,403.00 | $134,675.50 | $196,193.05 |