| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,495.41 | $6,606.93 | $7,943.28 | |
Hometown Health
| Professional | $17.78 | $1,778.28 | $2,818.38 | |
Hometown Health
| Professional | $15.14 | $15.14 | $2,754.23 | |
United
| Professional | $1,174.90 | $1,819.70 | $2,398.83 |