| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.81 | $51.12 | $51.12 | |
Aetna
| Professional | $49.81 | $51.12 | $51.12 | |
Cigna
| Facility | $69.38 | $69.38 | $69.38 | |
Hometown Health
| Professional | $117.43 | $117.43 | $144.11 | |
Hometown Health
| Facility | $76.68 | $76.68 | $76.68 |