| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,131.10 | $21,212.90 | $29,353.20 | |
Anthem BCBS
| Facility | $12,018.25 | $19,257.54 | $29,175.59 | |
Cigna
| Facility | $7,516.00 | $17,747.36 | $29,585.43 | |
Medical Mutual of Ohio
| Facility | $7,516.00 | $17,527.11 | $26,970.90 | |
United
| Facility | $10,403.00 | $22,635.88 | $31,567.68 |