| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $854.38 | $1,023.64 | $1,232.50 | |
Hometown Health
| Professional | $1.60 | $292.61 | $455.39 | |
Hometown Health
| Professional | $1.20 | $288.22 | $432.33 | |
United
| Professional | $226.20 | $253.35 | $315.43 |