| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,158.00 | $39,817.00 | $57,602.00 | |
Cigna
| Facility | $22,057.00 | $40,042.91 | $54,966.04 | |
Hometown Health
| Facility | $26,673.81 | $39,061.12 | $45,337.89 | |
United
| Facility | $15,320.00 | $28,394.00 | $92,623.65 |