| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,252.00 | $4,574.00 | $8,135.00 | |
Cigna
| Facility | $1,150.00 | $6,369.00 | $8,326.00 | |
Hometown Health
| Facility | $1,456.00 | $32,974.43 | $125,664.05 | |
United
| Facility | $925.00 | $1,200.00 | $2,560.00 |