| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.00 | $155.00 | $1,680.00 | |
Ambetter
| Facility | $93.39 | $170.46 | $257.88 | |
Cigna
| Facility | $19.00 | $35.00 | $45.00 | |
Medical Mutual of Ohio
| Facility | $19.00 | $45.00 | $166.84 |