| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $4,396.00 | $10,300.00 | |
Aetna
| Professional | $40.00 | $84.00 | $175.00 | |
Cigna
| Professional | $70.70 | $73.64 | $76.59 | |
Hometown Health
| Professional | $190.00 | $200.00 | $425.00 | |
Hometown Health
| Facility | $27.07 | $27.07 | $27.07 |