| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.47 | $172.47 | $196.61 | |
Cigna
| Facility | $11,590.00 | $14,309.00 | $18,807.00 | |
Hometown Health
| Professional | $2.45 | $168.61 | $236.06 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |