| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,352.23 | $5,160.84 | $5,160.84 | |
Aetna
| Professional | $4,835.50 | $5,160.84 | $15,620.00 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 | |
Hometown Health
| Professional | $100.00 | $200.00 | $493.00 |