| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,164.00 | $31,957.00 | $35,912.00 | |
Cigna
| Facility | $19,045.59 | $26,236.00 | $73,764.00 | |
Hometown Health
| Facility | $23,032.09 | $34,874.40 | $40,529.94 | |
United
| Facility | $12,432.00 | $33,288.00 | $79,977.92 |