| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.73 | $27.73 | $35.92 | |
Aetna
| Professional | $27.73 | $27.73 | $35.92 | |
Cigna
| Facility | $35.11 | $35.11 | $35.11 | |
Hometown Health
| Professional | $40.29 | $40.29 | $49.46 | |
Hometown Health
| Facility | $38.79 | $38.79 | $38.79 |