| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,862.09 | $5,011.87 | |
Cigna
| Facility | $15,135.61 | $15,135.61 | $15,135.61 | |
Hometown Health
| Professional | $218.78 | $245.47 | $346.74 | |
United
| Facility | $199.53 | $1,288.25 | $2,041.74 |