| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.30 | $289.87 | $324.68 | |
Aetna
| Professional | $16.30 | $43.93 | $247.90 | |
Cigna
| Facility | $22.99 | $41.38 | $128.05 | |
Hometown Health
| Professional | $190.00 | $190.00 | $190.00 |