| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,545.58 | $1,545.58 | $3,955.50 | |
Aetna
| Professional | $1,545.58 | $1,545.58 | $1,545.58 | |
Cigna
| Professional | $660.66 | $660.66 | $660.66 | |
Hometown Health
| Professional | $100.00 | $200.00 | $493.00 |