| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.31 | $237.33 | $1,781.94 | |
Aetna
| Professional | $25.00 | $65.00 | $652.00 | |
Cigna
| Professional | $47.00 | $100.14 | $133.52 | |
Hometown Health
| Professional | $190.00 | $190.00 | $200.00 | |
Hometown Health
| Facility | $219.60 | $219.60 | $219.60 |