| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.00 | $144.00 | $144.00 | |
Cigna
| Facility | $89.48 | $168.41 | $498.40 | |
Cigna
| Professional | $89.19 | $162.00 | $368.77 | |
Hometown Health
| Professional | $190.00 | $190.00 | $350.00 | |
Hometown Health
| Facility | $97.31 | $97.31 | $97.31 |