| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,158.00 | $38,809.00 | $51,719.00 | |
Cigna
| Facility | $30,291.80 | $54,992.60 | $75,487.17 | |
Hometown Health
| Facility | $34,299.00 | $54,414.60 | $61,485.00 | |
United
| Facility | $15,320.00 | $28,394.00 | $127,203.92 |