| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,261.31 | $6,303.65 | $7,589.76 | |
Hometown Health
| Professional | $17.60 | $1,794.00 | $2,795.90 | |
Hometown Health
| Professional | $13.20 | $1,769.56 | $2,654.34 | |
United
| Professional | $30.00 | $30.00 | $51.00 |