| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,019.00 | $3,740.00 | $30,450.00 | |
Cigna
| Facility | $22,472.80 | $40,797.76 | $56,002.22 | |
Hometown Health
| Facility | $27,176.65 | $35,058.30 | $40,741.12 | |
United
| Facility | $15,320.00 | $28,394.00 | $94,369.71 |