| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.00 | $864.00 | $864.00 | |
Anthem BCBS
| Facility | $407.00 | $1,461.00 | $1,683.00 | |
Cigna
| Facility | $1,100.00 | $1,405.00 | $2,426.17 | |
Medical Mutual of Ohio
| Facility | $1,100.00 | $1,405.00 | $2,426.17 | |
United
| Facility | $809.00 | $1,191.00 | $1,799.00 |