| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,158.00 | $102,859.00 | $126,889.00 | |
Cigna
| Facility | $17,108.00 | $22,170.00 | $126,973.00 | |
Hometown Health
| Facility | $39,096.49 | $57,994.94 | $119,590.00 | |
United
| Facility | $53,594.00 | $58,808.00 | $135,760.81 |