| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $604.00 | $759.00 | $6,685.00 | |
Cigna
| Facility | $350.00 | $1,732.00 | $2,400.00 | |
Hometown Health
| Facility | $2,688.00 | $5,172.00 | $82,033.00 | |
United
| Facility | $925.00 | $1,200.00 | $2,560.00 |