| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.30 | $450.00 | $450.00 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
Hometown Health
| Professional | $450.00 | $450.00 | $450.00 | |
Hometown Health
| Facility | $497.88 | $497.88 | $497.88 | |
United
| Professional | $451.15 | $610.60 | $854.26 |