| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,483.00 | $53,219.70 | $75,717.30 | |
Anthem BCBS
| Facility | $1,015.00 | $2,617.00 | $66,029.06 | |
Medical Mutual of Ohio
| Facility | $7,700.33 | $7,700.33 | $7,700.33 | |
United
| Facility | $10,403.00 | $59,859.57 | $84,162.06 |