| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $1,348.96 | $5,370.32 | |
Aetna
| Professional | $501.19 | $575.44 | $691.83 | |
Cigna
| Professional | $831.76 | $870.96 | $1,047.13 | |
Hometown Health
| Professional | $158.49 | $158.49 | $177.83 | |
United
| Facility | $489.78 | $489.78 | $489.78 | |
United
| Professional | $295.12 | $426.58 | $933.25 |