| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.00 | $1,760.00 | $4,164.00 | |
Cigna
| Facility | $260.00 | $412.00 | $1,780.00 | |
Hometown Health
| Facility | $1,805.00 | $70,667.00 | $141,196.00 | |
United
| Facility | $625.00 | $1,200.00 | $2,770.00 |