| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.65 | $39.65 | $39.65 | |
Aetna
| Professional | $39.65 | $39.65 | $39.65 | |
Cigna
| Professional | $31.89 | $31.89 | $31.89 | |
Hometown Health
| Professional | $37.00 | $37.00 | $37.00 | |
Hometown Health
| Facility | $40.72 | $40.72 | $40.72 | |
United
| Professional | $35.52 | $36.45 | $49.77 |