| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $4,983.00 | $8,135.00 | |
Cigna
| Facility | $1,150.00 | $6,369.00 | $8,326.00 | |
Hometown Health
| Facility | $1,456.00 | $4,599.00 | $82,033.00 | |
United
| Facility | $445.00 | $778.48 | $1,210.00 |