| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,412.54 | $5,623.41 | |
Aetna
| Professional | $524.81 | $602.56 | $851.14 | |
Cigna
| Professional | $851.14 | $912.01 | $1,071.52 | |
Hometown Health
| Professional | $165.96 | $165.96 | $186.21 | |
United
| Facility | $512.86 | $512.86 | $512.86 | |
United
| Professional | $309.03 | $446.68 | $954.99 |