| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $80.00 | $223.78 | $245.00 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 | |
Hometown Health
| Facility | $172.92 | $172.92 | $172.92 | |
United
| Facility | $200.00 | $1,277.00 | $1,998.00 |