| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
Cigna
| Professional | $51.00 | $51.00 | $69.56 | |
Hometown Health
| Professional | $100.00 | $200.00 | $493.00 |