| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $743.00 | $1,350.00 | $2,736.00 | |
Cigna
| Facility | $1,295.00 | $1,295.00 | $1,295.00 | |
Hometown Health
| Facility | $800.00 | $800.00 | $825.00 | |
United
| Facility | $1,686.00 | $1,686.00 | $1,686.00 |