| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $425.00 | $623.00 | $764.52 | |
Cigna
| Facility | $475.00 | $670.00 | $1,308.00 | |
Medical Mutual of Ohio
| Facility | $475.00 | $670.00 | $1,308.00 | |
United
| Facility | $620.00 | $922.00 | $10,403.00 |