| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,373.00 | $18,372.80 | $25,423.20 | |
Anthem BCBS
| Facility | $11,741.39 | $18,813.91 | $28,503.47 | |
Cigna
| Facility | $7,516.00 | $15,371.26 | $25,624.38 | |
Medical Mutual of Ohio
| Facility | $7,516.00 | $15,180.49 | $23,359.90 | |
United
| Facility | $8,584.29 | $20,205.34 | $28,258.72 |