| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.94 | $188.94 | $215.39 | |
Cigna
| Facility | $11,590.00 | $14,309.00 | $18,807.00 | |
Hometown Health
| Professional | $2.17 | $125.26 | $193.78 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |