| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,715.35 | $3,890.45 | $4,677.35 | |
Hometown Health
| Professional | $660.69 | $660.69 | $724.44 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 | |
United
| Professional | $1,230.27 | $2,951.21 | $4,365.16 |