| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $647.00 | $807.00 | $1,070.00 | |
Anthem BCBS
| Facility | $697.00 | $766.00 | $1,483.00 | |
Cigna
| Facility | $505.00 | $700.00 | $951.00 | |
Medical Mutual of Ohio
| Facility | $505.00 | $700.00 | $951.00 | |
Optum
| Facility | $553.00 | $818.00 | $1,631.00 |