| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $446.68 | |
Aetna
| Professional | $446.68 | $446.68 | $446.68 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
Hometown Health
| Professional | $446.68 | $446.68 | $446.68 | |
Select Health
| Professional | $446.68 | $446.68 | $446.68 | |
United
| Professional | $446.68 | $616.60 | $812.83 |