| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.09 | $177.74 | $180.21 | |
Aetna
| Professional | $170.09 | $175.60 | $180.21 | |
Cigna
| Professional | $164.86 | $164.86 | $164.86 | |
Hometown Health
| Professional | $139.55 | $177.74 | $237.24 | |
Hometown Health
| Professional | $1.05 | $155.06 | $232.59 | |
United
| Professional | $200.20 | $270.01 | $433.21 |