| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $2,884.03 | $5,888.44 | |
Cigna
| Facility | $15,135.61 | $15,135.61 | $15,135.61 | |
Hometown Health
| Professional | $2.40 | $125.89 | $190.55 | |
United
| Facility | $199.53 | $1,047.13 | $1,995.26 |