| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.00 | $1,760.00 | $4,164.00 | |
Cigna
| Facility | $290.00 | $432.00 | $3,775.00 | |
Hometown Health
| Facility | $1,050.00 | $70,667.00 | $125,664.05 | |
United
| Facility | $625.00 | $1,200.00 | $2,770.00 |