| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $213.80 | $338.84 | $426.58 | |
Hometown Health
| Professional | $0.50 | $102.33 | $138.04 | |
Hometown Health
| Professional | $0.50 | $128.82 | $141.25 | |
United
| Professional | $36.31 | $85.11 | $141.25 |