| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $641.00 | $868.00 | $1,070.00 | |
Anthem BCBS
| Facility | $407.00 | $1,461.00 | $1,683.00 | |
Cigna
| Facility | $550.00 | $1,000.00 | $1,781.00 | |
Medical Mutual of Ohio
| Facility | $550.00 | $1,000.00 | $1,781.00 | |
United
| Facility | $809.00 | $1,137.00 | $1,799.00 |